Rundquist, Rex W

Rundquist, Rex W is an individual health care provider with primary practice located at 1125 Pierce St , Sioux City IA 51105-1485. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Rundquist, Rex W can be contacted via phone (712) 255-8901.

Contact Information

Primary practice address
1125 Pierce St Sioux City IA 51105-1485
Fax: (712) 255-9161
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 21617 Iowa

Profile Details

NPI number 1881691392
LBN Legal business name Rundquist, Rex W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Apr 27th, 2017 - about 7 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 1881691392 NPPES
Iowa MEDICAID 0070714

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