Pelzer, Katy

Pelzer, Katy is an individual health care provider with primary practice located at 905 Franklin St , Waterloo IA 50703-4407. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Pelzer, Katy can be contacted via phone (319) 272-4300.

Contact Information

Primary practice address
905 Franklin St Waterloo IA 50703-4407
Phone: (319) 272-4300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 03225 Iowa

Profile Details

NPI number 1689685026
LBN Legal business name Pelzer, Katy
Credentials DH
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689685026 NPPES
Iowa MEDICAID 0076372

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