Waldron, Debra Beth
Waldron, Debra Beth is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1009. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Waldron, Debra Beth can be contacted via phone (319) 356-4107.Contact Information
Primary practice address
200 Hawkins Dr
Iowa City IA 52242-1009
Phone: (319) 356-4107
Fax: (319) 356-3715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 45397 | Minnesota |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA04720100 | New Jersey |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 226658 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 38049 | Iowa |
Profile Details
| NPI number | 1215932074 |
|---|---|
| LBN Legal business name | Waldron, Debra Beth |
| Credentials | M.D., M.P.H. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Nov 7th, 2008 - about 16 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 | 1215932074 | NPPES |
| Minnesota | MEDICAID | 634930700 |
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