Tymkiw, Keelen
Tymkiw, Keelen is an sole proprietor health care provider with primary practice located at University Of Iowa, College Of Dentistry, Periodontics S450 Dsb, Iowa City IA 52242. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Tymkiw, Keelen can be contacted via phone (319) 335-7238.Contact Information
Primary practice address
University Of Iowa, College Of Dentistry, Periodontics S450 Dsb
Iowa City IA 52242
Phone: (319) 335-7238
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 30200 | Iowa |
Profile Details
| NPI number | 1740485598 |
|---|---|
| LBN Legal business name | Tymkiw, Keelen |
| Credentials | BDS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1740485598 | NPPES |
| Iowa | Other | 30200 | IOWA BOARD OF DENTAL EXAM |
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