John M. Ippolito Md, P.C

LBN: John M. Ippolito Md, P.C
John M. Ippolito Md, P.C is an health care organization with primary practice located at 201 Ridge St Suite 301, Council Bluffs IA 51503-4643. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. John M. Ippolito Md, P.C can be contacted via phone (712) 256-0791, or through Ippolito, John M via phone (712) 256-0791.

Contact Information

Primary practice address
201 Ridge St Suite 301 Council Bluffs IA 51503-4643
Phone: (712) 256-0791
Fax: (712) 256-0807
Website:
Map and Directions
Authorized official contact:
Name: Ippolito, John M Doctor of Medicine (MD)
Phone: (712) 256-0791

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25954 Iowa

Profile Details

NPI number 1548310394
LBN Legal business name John M. Ippolito Md, P.C
DBA Doing business as
Authorized official Ippolito, John M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2007
Last updated Apr 24th, 2013 - about 12 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 1548310394 NPPES
Iowa MEDICAID 1044065
Iowa MEDICAID 1548310394

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