Landphair, Allyson Rae
Landphair, Allyson Rae is an individual health care provider with primary practice located at 1753 W Ridgeway Ave Ste 111 , Waterloo IA 50701-4588. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Landphair, Allyson Rae can be contacted via phone (319) 233-6211.Contact Information
Primary practice address
1753 W Ridgeway Ave Ste 111
Waterloo IA 50701-4588
Phone: (319) 233-6211
Fax: (319) 233-2164
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | A095751 | Iowa |
Profile Details
NPI number | 1902859804 |
---|---|
LBN Legal business name | Landphair, Allyson Rae |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 19th, 2006 |
Last updated | May 14th, 2020 - about 4 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 | 1902859804 | NPPES |
Iowa | MEDICAID | 0453670 | |
Iowa | Other | 42583 | |
Iowa | Other | 421417307F4 |
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