Noble, Jerry D

Noble, Jerry D is an individual health care provider with primary practice located at 1003 Grand Ave , West Des Moines IA 50265-3502. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Noble, Jerry D can be contacted via phone (515) 267-1003.

Contact Information

Primary practice address
1003 Grand Ave West Des Moines IA 50265-3502
Phone: (515) 267-1003
Fax: (515) 267-0100
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1000 Iowa

Profile Details

NPI number 1689642753
LBN Legal business name Noble, Jerry D
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 8th, 2007 - about 19 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 1689642753 NPPES
Iowa Other 53126 BLUE SHIELD
Iowa MEDICAID 1045898 BLUE SHIELD
Iowa Other IA0102 BLUE SHIELD

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