Vander Ploeg, Kurt Ronald

Vander Ploeg, Kurt Ronald is an sole proprietor health care provider with primary practice located at 615 Washington St , Pella IA 50219-1538. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Vander Ploeg, Kurt Ronald can be contacted via phone (641) 628-2222.

Contact Information

Primary practice address
615 Washington St Pella IA 50219-1538
Fax: (641) 628-2915
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20762 Iowa

Profile Details

NPI number 1871586594
LBN Legal business name Vander Ploeg, Kurt Ronald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2005
Last updated Mar 7th, 2023 - about 3 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 1871586594 NPPES
Iowa Other 13768 WELLMARK BLUE CROSS & BLU
Iowa Other 16D0383065 WELLMARK BLUE CROSS & BLU
Iowa MEDICAID 0137687 WELLMARK BLUE CROSS & BLU
Iowa Other IA0101 WELLMARK BLUE CROSS & BLU

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