Quad Cities Internal Medicine Pc

LBN: Quad Cities Internal Medicine Pc
Quad Cities Internal Medicine Pc is an health care organization with primary practice located at 3509 Spring St Suite 3, Davenport IA 52807-2124. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Quad Cities Internal Medicine Pc can be contacted via phone (563) 359-5011, or through Jaegle, Debra M via phone (563) 359-5011.

Contact Information

Primary practice address
3509 Spring St Suite 3 Davenport IA 52807-2124
Phone: (563) 359-5011
Fax: (359) 355-3438
Website:
Map and Directions
Authorized official contact:
Name: Jaegle, Debra M Doctor of Medicine (MD)
Phone: (563) 359-5011

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 27082 Iowa

Profile Details

NPI number 1053431437
LBN Legal business name Quad Cities Internal Medicine Pc
DBA Doing business as
Authorized official Jaegle, Debra M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2007
Last updated Jan 16th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053431437 NPPES
Iowa MEDICAID 0487322
Iowa Other 20088
Iowa MEDICAID 1057778

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