Jedlicka, Nicole Marie

Jedlicka, Nicole Marie is an individual health care provider with primary practice located at 1500 Delhi St Suite 2200, Dubuque IA 52001-6358. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Jedlicka, Nicole Marie can be contacted via phone (563) 557-5930.

Contact Information

Primary practice address
1500 Delhi St Suite 2200 Dubuque IA 52001-6358
Phone: (563) 557-5930
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 000835 Iowa

Profile Details

NPI number 1295047512
LBN Legal business name Jedlicka, Nicole Marie
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2010
Last updated Mar 25th, 2014 - about 12 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 1295047512 NPPES
Iowa MEDICAID 1295047512

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