Piasecki Iii, Edmund J

Piasecki Iii, Edmund J is an individual health care provider with primary practice located at 1111 6Th Ave Mercy Medical Cente Er, Des Moines IA 50314-2610. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Piasecki Iii, Edmund J can be contacted via phone (515) 247-3173.

Contact Information

Primary practice address
1111 6Th Ave Mercy Medical Cente Er Des Moines IA 50314-2610
Phone: (515) 247-3173
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A100182 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2001021075 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 45213 Kansas

Profile Details

NPI number 1477534279
LBN Legal business name Piasecki Iii, Edmund J
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jan 30th, 2012 - about 14 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 1477534279 NPPES
Missouri MEDICAID 425701513
Missouri MEDICAID 0463448
Missouri MEDICAID 425701505

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