17 11 Je 2060

LBN: 17 11 Je 2060
17 11 Je 2060 is an health care organization with primary practice located at 1444 E Walnut St Apt 18 , Des Moines IA 50316-3828. The organization recently has only one registered license in Other Service Providers / Research Study, which is considered as the primary health care specialty. 17 11 Je 2060 can be contacted via phone (515) 802-7198, or through Campbell, Johnnie C via phone (515) 802-7198.

Contact Information

Primary practice address
1444 E Walnut St Apt 18 Des Moines IA 50316-3828
Phone: (515) 802-7198
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Campbell, Johnnie C
Phone: (515) 802-7198

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Research Study 1744R1102X

Profile Details

NPI number 1457217390
LBN Legal business name 17 11 Je 2060
DBA Doing business as
Authorized official Campbell, Johnnie C
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2026
Last updated Jan 3rd, 2026 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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