Hart, Roy Alden
Hart, Roy Alden is an individual health care provider with primary practice located at 1801 Hickman Road Broadlawns Medical Center, Des Moines IA 50314. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Hart, Roy Alden can be contacted via phone (515) 282-2548.Contact Information
Primary practice address
1801 Hickman Road Broadlawns Medical Center
Des Moines IA 50314
Phone: (515) 282-2548
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036081158 | Illinois |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 5315029112 | Michigan |
Profile Details
| NPI number | 1457357642 |
|---|---|
| LBN Legal business name | Hart, Roy Alden |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | May 20th, 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 | 1457357642 | NPPES |
| Iowa | Other | 01967 | LICENSE NUMBER |
| Iowa | Other | 5315029112 | LICENSE NUMBER |
| Iowa | Other | RH007937 | LICENSE NUMBER |
| Iowa | MEDICAID | 114945064 | LICENSE NUMBER |
| Iowa | Other | 160G360190 | LICENSE NUMBER |
| Iowa | MEDICAID | 036021158 | LICENSE NUMBER |
| Iowa | Other | 381870664 | LICENSE NUMBER |
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