Recker, Douglas James

Recker, Douglas James is an individual health care provider with primary practice located at 1475 Boyson Road , Hiawatha IA 52233-2339. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Recker, Douglas James can be contacted via phone (319) 393-4019.

Contact Information

Primary practice address
1475 Boyson Road Hiawatha IA 52233-2339
Phone: (319) 393-4019
Fax: (319) 378-2924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7458 Iowa

Profile Details

NPI number 1306891049
LBN Legal business name Recker, Douglas James
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 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 1306891049 NPPES
Iowa MEDICAID 0083212
Iowa Other 13417
Iowa Other 124986

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