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
Fax: (515) 573-7234
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033424924 NPPES
Iowa MEDICAID 0159608

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