Odefey, Jerry David
Odefey, Jerry David 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 Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Odefey, Jerry David can be contacted via phone (563) 584-3500.Contact Information
Primary practice address
1000 Langworthy St
Dubuque IA 52001-7313
Phone: (563) 584-3500
Fax: (563) 584-3520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 00350 | Iowa |
Profile Details
| NPI number | 1851331524 |
|---|---|
| LBN Legal business name | Odefey, Jerry David |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Nov 30th, 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.
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