Van Wyk, Kenneth Wayne
Van Wyk, Kenneth Wayne is an sole proprietor health care provider with primary practice located at 911 Washington St , Pella IA 50219-1503. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Van Wyk, Kenneth Wayne can be contacted via phone (641) 628-3511.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 02863 | Iowa |
Profile Details
| NPI number | 1144369844 |
|---|---|
| LBN Legal business name | Van Wyk, Kenneth Wayne |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2007 |
| 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 | 1144369844 | NPPES |
| Iowa | Other | 01447 | BLUE SHIELD |
| Iowa | Other | 47928 | BLUE SHIELD |
| Iowa | MEDICAID | 1014472 | BLUE SHIELD |
| Iowa | MEDICAID | 0014472 | BLUE SHIELD |
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