Van Oort, Terry Dale
Van Oort, Terry Dale is an sole proprietor health care provider with primary practice located at 302 Sw Walnut St , Ankeny IA 50023-3042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Van Oort, Terry Dale can be contacted via phone (515) 229-0310.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 21660 | Iowa |
Profile Details
| NPI number | 1265403216 |
|---|---|
| LBN Legal business name | Van Oort, Terry Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2006 |
| Last updated | Aug 9th, 2016 - about 8 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 | 1265403216 | NPPES |
| Iowa | MEDICAID | 0006775 | |
| Iowa | Other | 18174 | |
| Iowa | Other | 080175023 | |
| Iowa | MEDICAID | 3006775 | |
| Iowa | Other | 70990 |
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