Obbink, Bruce Alan
Obbink, Bruce Alan is an individual health care provider with primary practice located at 1000 Langworthy St , Dubuque IA 52001-7313. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Obbink, Bruce Alan can be contacted via phone (563) 584-3450.Contact Information
Primary practice address
1000 Langworthy St
Dubuque IA 52001-7313
Phone: (563) 584-3450
Fax: (563) 584-3717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 32947 | Iowa |
Profile Details
| NPI number | 1669424644 |
|---|---|
| LBN Legal business name | Obbink, Bruce Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Nov 25th, 2009 - about 16 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 | 1669424644 | NPPES |
| Iowa | MEDICAID | 0188763 |
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