Foote, Jan M

Foote, Jan M is an individual health care provider with primary practice located at 1215 Pleasant Street Suite 300 Blank Children'S Pediatric Clinic - Endocrinology, Des Moines IA 50309-1406. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Foote, Jan M can be contacted via phone (515) 241-6500.

Contact Information

Primary practice address
1215 Pleasant Street Suite 300 Blank Children'S Pediatric Clinic - Endocrinology Des Moines IA 50309-1406
Phone: (515) 241-6500
Fax: (515) 241-8911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X C063378 Iowa

Profile Details

NPI number 1740272822
LBN Legal business name Foote, Jan M
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jun 17th, 2015 - about 11 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 1740272822 NPPES
Other 175150054 MEDICARE
MEDICAID 1740272822 MEDICARE

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