Vansickle, Jodi L.
Vansickle, Jodi L. is an individual health care provider with primary practice located at 236 National Dr , Waterloo IA 50701-4263. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Vansickle, Jodi L. can be contacted via phone (319) 272-0000.Contact Information
Primary practice address
236 National Dr
Waterloo IA 50701-4263
Phone: (319) 272-0000
Fax: (319) 272-0016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 31864 | Iowa |
Profile Details
| NPI number | 1982630703 |
|---|---|
| LBN Legal business name | Vansickle, Jodi L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Jul 17th, 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 | 1982630703 | NPPES |
| Iowa | MEDICAID | 1159111 |
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