Bakke, Ryan Scott

Bakke, Ryan Scott is an individual health care provider with primary practice located at 204 N 4Th Ave E , Newton IA 50208-3135. 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 / Emergency Medicine is his primary health care specialty. Bakke, Ryan Scott can be contacted via phone (641) 792-1273.

Contact Information

Primary practice address
204 N 4Th Ave E Newton IA 50208-3135
Phone: (641) 792-1273
Fax: (641) 791-4852
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3471 Iowa
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 3471 Iowa

Profile Details

NPI number 1225030406
LBN Legal business name Bakke, Ryan Scott
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Nov 19th, 2008 - about 18 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 1225030406 NPPES
Other 546840006 MEDICARE PTAN
MEDICAID 0422048 MEDICARE PTAN
Other 546830006 MEDICARE PTAN
Other 35873 MEDICARE PTAN

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