Wacker, David P

Wacker, David P is an individual health care provider with primary practice located at 200 Hawkins Dr University Of Iowa Hospitals And Clinics, Iowa City IA 52242-1009. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as his primary health care specialty. Wacker, David P can be contacted via phone (319) 353-6450.

Contact Information

Primary practice address
200 Hawkins Dr University Of Iowa Hospitals And Clinics Iowa City IA 52242-1009
Phone: (319) 353-6450
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X

Profile Details

NPI number 1326202482
LBN Legal business name Wacker, David P
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2008
Last updated Jul 17th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326202482 NPPES
Iowa Other P77769 UPIN
Iowa MEDICAID 0459529 UPIN

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