Stovie, Brad L

Stovie, Brad L is an individual health care provider with primary practice located at 815 38Th St Se , Cedar Rapids IA 52403-4300. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Stovie, Brad L can be contacted via phone (319) 365-0534.

Contact Information

Primary practice address
815 38Th St Se Cedar Rapids IA 52403-4300
Fax: (319) 297-7417
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7588 Iowa

Profile Details

NPI number 1659408706
LBN Legal business name Stovie, Brad L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Jul 9th, 2007 - about 18 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 1659408706 NPPES
Iowa MEDICAID 0084855

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