Duven, Douglas Mark

Duven, Douglas Mark is an individual health care provider with primary practice located at 1731 W Ridgeway Ave Ste 100, Waterloo IA 50701-4591. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Duven, Douglas Mark can be contacted via phone (319) 833-6100.

Contact Information

Primary practice address
1731 W Ridgeway Ave Ste 100 Waterloo IA 50701-4591
Phone: (319) 833-6100
Fax: (319) 833-6102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 23463 Iowa

Profile Details

NPI number 1861445223
LBN Legal business name Duven, Douglas Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Oct 9th, 2007 - about 19 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 1861445223 NPPES
Iowa Other 42141730701 JOHN DEERE HEALTH CARE
Iowa MEDICAID 1203869 JOHN DEERE HEALTH CARE
Iowa Other 19288 JOHN DEERE HEALTH CARE

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