Van Dyke, Deborah J

Van Dyke, Deborah J is an individual health care provider with primary practice located at 1717 W Ridgeway Ave , Waterloo IA 50701-4543. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Van Dyke, Deborah J can be contacted via phone (319) 833-5830.

Contact Information

Primary practice address
1717 W Ridgeway Ave Waterloo IA 50701-4543
Phone: (319) 833-5830
Fax: (319) 833-5831
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A103984 Iowa

Profile Details

NPI number 1306873948
LBN Legal business name Van Dyke, Deborah J
Credentials ARNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Mar 28th, 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 1306873948 NPPES
Iowa Other 29174 WELLMARK HEALTH CARE
Iowa Other 421417307M7 WELLMARK HEALTH CARE
Iowa MEDICAID 1421941 WELLMARK HEALTH CARE

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