Jongewaard, Richard
Jongewaard, Richard is an individual health care provider with primary practice located at 645 S Main Ave , Sioux Center IA 51250-1347. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jongewaard, Richard can be contacted via phone (712) 722-2609.Contact Information
Primary practice address
645 S Main Ave
Sioux Center IA 51250-1347
Phone: (712) 722-2609
Fax: (712) 722-8393
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 19316 | Iowa |
Profile Details
| NPI number | 1124188040 |
|---|---|
| LBN Legal business name | Jongewaard, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Jan 25th, 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 | 1124188040 | NPPES |
| Iowa | MEDICAID | 3127555 |
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