Styvaert, Jean Marie

Styvaert, Jean Marie is an individual health care provider with primary practice located at 303 W 6Th St , Davenport IA 52803-5101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Styvaert, Jean Marie can be contacted via phone (563) 322-8890.

Contact Information

Primary practice address
303 W 6Th St Davenport IA 52803-5101
Phone: (563) 322-8890
Fax: (563) 324-2416
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209000248 Illinois

Profile Details

NPI number 1730189184
LBN Legal business name Styvaert, Jean Marie
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Apr 30th, 2013 - about 12 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 1730189184 NPPES
Illinois Other 792083065 RAILROAD MEDICARE

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