Kragenbrink, David E
Kragenbrink, David E is an individual health care provider with primary practice located at 1500 Delhi St Suite 3500, Dubuque IA 52001-6321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kragenbrink, David E can be contacted via phone (563) 557-5911.Contact Information
Primary practice address
1500 Delhi St Suite 3500
Dubuque IA 52001-6321
Phone: (563) 557-5911
Fax: (563) 557-5910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 30061 | Iowa |
Profile Details
| NPI number | 1154316800 |
|---|---|
| LBN Legal business name | Kragenbrink, David E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Oct 20th, 2016 - about 10 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 | 1154316800 | NPPES |
| Iowa | Other | 16783 | WELLMARK BCBS |
| Iowa | MEDICAID | 3116665 | WELLMARK BCBS |
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