Pott-Pepperman, Daniel Ephraim
Pott-Pepperman, Daniel Ephraim is an sole proprietor health care provider with primary practice located at 400 Locust St Suite # 400, Des Moines IA 50309-2331. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Pott-Pepperman, Daniel Ephraim can be contacted via phone (515) 664-2681.Contact Information
Primary practice address
400 Locust St Suite # 400
Des Moines IA 50309-2331
Phone: (515) 664-2681
Fax: (515) 223-2371
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 001024 | Iowa |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3564 | Colorado |
Profile Details
| NPI number | 1386899086 |
|---|---|
| LBN Legal business name | Pott-Pepperman, Daniel Ephraim |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2008 |
| Last updated | Jan 11th, 2017 - about 8 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 | 1386899086 | NPPES |
| Arkansas | MEDICAID | 180710719 | |
| Arkansas | Other | P00816719 | |
| Arkansas | MEDICAID | 1386899086 |
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