Repp, Daniel J

Repp, Daniel J is an individual health care provider with primary practice located at 5335 Eastern Ave Suite C, Davenport IA 52807-2788. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Repp, Daniel J can be contacted via phone (563) 213-5080.

Contact Information

Primary practice address
5335 Eastern Ave Suite C Davenport IA 52807-2788
Phone: (563) 213-5080
Fax: (563) 355-5070
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 53448 Minnesota
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD60309754 Washington
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X MD-42656 Iowa

Profile Details

NPI number 1275763369
LBN Legal business name Repp, Daniel J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2009
Last updated Apr 29th, 2016 - about 10 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 1275763369 NPPES
Minnesota Other P00954327 RAILROAD MEDICARE

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