Iowa Plastic Surgery Center Lc

LBN: Iowa Plastic Surgery Center Lc
Iowa Plastic Surgery Center Lc is an health care organization with primary practice located at 4334 E 53Rd St , Davenport IA 52807-3039. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Iowa Plastic Surgery Center Lc can be contacted via phone (563) 322-8877, or through Vanraalte, Benjamin Adam via phone (563) 322-8877.

Contact Information

Primary practice address
4334 E 53Rd St Davenport IA 52807-3039
Phone: (563) 322-8877
Fax: (563) 322-8375
Website:
Map and Directions
Authorized official contact:
Name: Vanraalte, Benjamin Adam Doctor of Medicine (MD)
Phone: (563) 322-8877

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 29526 Iowa

Profile Details

NPI number 1215916184
LBN Legal business name Iowa Plastic Surgery Center Lc
DBA Doing business as
Authorized official Vanraalte, Benjamin Adam Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2006
Last updated Feb 15th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215916184 NPPES
Iowa MEDICAID IA0113241

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