Kamala, Jerusa
Kamala, Jerusa is an individual health care provider with primary practice located at 1250 9Th Street , Des Moines IA 50316-2765. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Kamala, Jerusa can be contacted via phone (515) 263-2600.Contact Information
Primary practice address
1250 9Th Street
Des Moines IA 50316-2765
Phone: (515) 263-2600
Fax: (515) 263-2620
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 34967 | Iowa |
Profile Details
NPI number | 1285601641 |
---|---|
LBN Legal business name | Kamala, Jerusa |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 3rd, 2006 |
Last updated | Feb 10th, 2015 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285601641 | NPPES |
Iowa | MEDICAID | 0284695 | |
Iowa | MEDICAID | 1285601641 |
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