Gantz, David
Gantz, David is an sole proprietor health care provider with primary practice located at 1700 W Townline St , Creston IA 50801-1054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gantz, David can be contacted via phone (641) 782-2131.Contact Information
Primary practice address
1700 W Townline St
Creston IA 50801-1054
Phone: (641) 782-2131
Fax: (641) 782-3879
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO-06155 | Iowa |
Profile Details
| NPI number | 1639551567 |
|---|---|
| LBN Legal business name | Gantz, David |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2015 |
| Last updated | Feb 27th, 2024 - about 2 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 | 1639551567 | NPPES |
| Iowa | Other | DO-06155 | IOWA BOARD OF MEDICINE |
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