Nielsendejong, Deborah R
Nielsendejong, Deborah R is an individual health care provider with primary practice located at 1229 C Ave E , Oskaloosa IA 52577-4246. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is her primary health care specialty. Nielsendejong, Deborah R can be contacted via phone (641) 672-3100.Contact Information
Primary practice address
1229 C Ave E
Oskaloosa IA 52577-4246
Phone: (641) 672-3100
Fax: (641) 672-3111
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 28765 | Iowa |
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 28765 | Iowa |
Profile Details
NPI number | 1740269976 |
---|---|
LBN Legal business name | Nielsendejong, Deborah R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 16th, 2006 |
Last updated | Jan 20th, 2022 - about 2 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 | 1740269976 | NPPES |
Iowa | MEDICAID | 6110353 | |
Iowa | Other | 09642 | |
Iowa | Other | P00114109 |
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