Wilkins, Jeffrey David

Wilkins, Jeffrey David is an sole proprietor health care provider with primary practice located at 1825 Logan Ave , Waterloo IA 50703-1916. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Wilkins, Jeffrey David can be contacted via phone (319) 235-3697.

Contact Information

Primary practice address
1825 Logan Ave Waterloo IA 50703-1916
Phone: (319) 235-3697
Fax: (319) 235-3698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3446 Iowa
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 3446 Iowa

Profile Details

NPI number 1881680130
LBN Legal business name Wilkins, Jeffrey David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2005
Last updated Sep 23rd, 2010 - about 14 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 1881680130 NPPES
Iowa MEDICAID 5264507

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