Van Heukelom, John R
Van Heukelom, John R is an individual health care provider with primary practice located at 835 3Rd Ave Se , Cedar Rapids IA 52403-2407. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Van Heukelom, John R can be contacted via phone (319) 365-8441.Contact Information
Primary practice address
835 3Rd Ave Se
Cedar Rapids IA 52403-2407
Phone: (319) 365-8441
Fax: (319) 365-0480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 06239 | Iowa |
Profile Details
| NPI number | 1891771960 |
|---|---|
| LBN Legal business name | Van Heukelom, John R |
| Credentials | DDS MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1891771960 | NPPES |
| Iowa | MEDICAID | 0181933 |
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