Repp, Beth R

Repp, Beth R is an individual health care provider with primary practice located at 777 Tanglefoot Ln , Bettendorf IA 52722-1650. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Repp, Beth R can be contacted via phone (563) 323-2020.

Contact Information

Primary practice address
777 Tanglefoot Ln Bettendorf IA 52722-1650
Phone: (563) 323-2020
Fax: (563) 328-5694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 50530 Minnesota
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 39738 Iowa

Profile Details

NPI number 1194987016
LBN Legal business name Repp, Beth R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2008
Last updated Dec 22nd, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194987016 NPPES
Wisconsin MEDICAID 35359500
Wisconsin MEDICAID ENROLLED
Wisconsin Other P00737845
Wisconsin MEDICAID ENROLLED

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