Thacker, Bobbi Christine
Thacker, Bobbi Christine is an individual health care provider with primary practice located at 800 Kenyon Rd , Fort Dodge IA 50501-5776. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Thacker, Bobbi Christine can be contacted via phone (515) 574-6800.Contact Information
Primary practice address
800 Kenyon Rd
Fort Dodge IA 50501-5776
Phone: (515) 574-6800
Fax: (515) 573-7234
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A155895 | Iowa |
Profile Details
NPI number | 1033424924 |
---|---|
LBN Legal business name | Thacker, Bobbi Christine |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 16th, 2010 |
Last updated | Aug 15th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033424924 | NPPES |
Iowa | MEDICAID | 0159608 |
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