Bottger, Judith A
Bottger, Judith A is an sole proprietor health care provider with primary practice located at 4405 Hamilton Blvd , Sioux City IA 51104-1140. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Bottger, Judith A can be contacted via phone (712) 239-3937.Contact Information
Primary practice address
4405 Hamilton Blvd
Sioux City IA 51104-1140
Phone: (712) 239-3937
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | D042389 | Iowa |
Profile Details
| NPI number | 1720088446 |
|---|---|
| LBN Legal business name | Bottger, Judith A |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Apr 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720088446 | NPPES |
| Iowa | MEDICAID | 2553990 | |
| Iowa | Other | 33480 | |
| Iowa | MEDICAID | 10024954000 | |
| Iowa | MEDICAID | 3553990 | |
| Iowa | Other | R013639 | |
| Iowa | Other | 0040726 | |
| Iowa | Other | 08652 | |
| Iowa | MEDICAID | 5753240 | |
| Iowa | Other | 7511 |
Popular Providers
-
Smith, Diane M
2720 Stone Park Blvd , Sioux City IA 51104-3734 -
Farmer, John I
801 5Th St , Sioux City IA 51101-1394 -
Glidden, John H
801 5Th St , Sioux City IA 51101-1394 -
Edwards, Carol Lynn
801 5Th St , Sioux City IA 51101-1326 -
Brockhaus, Thomas
801 5Th St , Sioux City IA 51101-1394 -
Manning, Kathleen S
2720 Stone Park Blvd , Sioux City IA 51104-3734 -
Carter, Deborah
801 5Th St , Sioux City IA 51101-1394 -
Clark, Dave
801 5Th St , Sioux City IA 51101-1394