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
Phone: (641) 628-2222
Fax: (641) 628-2915
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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