Shank, Glenace B

Shank, Glenace B is an individual health care provider with primary practice located at 2901 86Th St , Urbandale IA 50322-4201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Shank, Glenace B can be contacted via phone (515) 276-3406.

Contact Information

Primary practice address
2901 86Th St Urbandale IA 50322-4201
Phone: (515) 276-3406
Fax: (515) 276-5141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3154 Iowa

Profile Details

NPI number 1386796530
LBN Legal business name Shank, Glenace B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Aug 9th, 2012 - about 13 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 1386796530 NPPES
Iowa Other 38212 WELLMARK BLUE CROSS
Iowa MEDICAID 1386796530 WELLMARK BLUE CROSS
Iowa MEDICAID 9163907 WELLMARK BLUE CROSS
Iowa Other P00267880 WELLMARK BLUE CROSS

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