Reese, Shawn E
Reese, Shawn E is an individual health care provider with primary practice located at 3434 Kimball Avenue , Waterloo IA 50702. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Reese, Shawn E can be contacted via phone (319) 236-0861.Contact Information
Primary practice address
3434 Kimball Avenue
Waterloo IA 50702
Phone: (319) 236-0861
Fax: (319) 236-0410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 08003 | Iowa |
Profile Details
| NPI number | 1700971538 |
|---|---|
| LBN Legal business name | Reese, Shawn E |
| Credentials | DDS MS PC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700971538 | NPPES |
| Iowa | MEDICAID | 0200550 | |
| Iowa | Other | 23960 | |
| Iowa | Other | 64004970 |
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