Ikerd, Valarie L

Ikerd, Valarie L is an sole proprietor health care provider with primary practice located at 1501 E 20Th St , Joplin MO 64804-0928. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Ikerd, Valarie L can be contacted via phone (417) 659-9395.

Contact Information

Primary practice address
1501 E 20Th St Joplin MO 64804-0928
Fax: (417) 659-9565
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000729 Missouri

Profile Details

NPI number 1689600918
LBN Legal business name Ikerd, Valarie L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2006
Last updated Aug 9th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689600918 NPPES
Missouri Other 284033 HEALTHLINK
Missouri Other 431842730 HEALTHLINK
Missouri MEDICAID 308222207 HEALTHLINK
Missouri Other 112612 HEALTHLINK

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