Oldag, Lauren
Oldag, Lauren is an sole proprietor health care provider with primary practice located at 2300 Swan Lake Blvd Ste 102 , Independence IA 50644. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Oldag, Lauren can be contacted via phone (563) 212-8015.Contact Information
Primary practice address
2300 Swan Lake Blvd Ste 102
Independence IA 50644
Phone: (563) 212-8015
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 077411 | Iowa |
Profile Details
| NPI number | 1710432786 |
|---|---|
| LBN Legal business name | Oldag, Lauren |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2016 |
| Last updated | Aug 20th, 2018 - about 6 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 | 1710432786 | NPPES |
| Iowa | MEDICAID | 0074435 |
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