Maikon, Renee Elaine
Maikon, Renee Elaine is an individual health care provider with primary practice located at 1630 32Nd Street Ne , Cedar Rapids IA 52402. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Maikon, Renee Elaine can be contacted via phone (319) 362-8657.Contact Information
Primary practice address
1630 32Nd Street Ne
Cedar Rapids IA 52402
Phone: (319) 362-8657
Fax: (319) 362-1824
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 7308 | Iowa |
Profile Details
| NPI number | 1649211442 |
|---|---|
| LBN Legal business name | Maikon, Renee Elaine |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1649211442 | NPPES |
| Iowa | Other | 55942 | BLUE CROSS |
| Iowa | MEDICAID | 2068189 | BLUE CROSS |
| Iowa | Other | 554537 | BLUE CROSS |
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