Vandergaast, Deborah Lorraine

Vandergaast, Deborah Lorraine is an sole proprietor health care provider with primary practice located at 118 Parkview Ct , Tipton IA 52772-1349. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Physical Disabilities, Child. Nursing Service Providers / Registered Nurse is her primary health care specialty. Vandergaast, Deborah Lorraine can be contacted via phone (563) 886-3143.

Contact Information

Primary practice address
118 Parkview Ct Tipton IA 52772-1349
Phone: (563) 886-3143
Fax: (563) 886-3143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 104423 Iowa
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X 104423 Iowa
Respite Care Facility / Respite Care, Physical Disabilities, Child 385HR2065X 104423 Iowa

Profile Details

NPI number 1023233806
LBN Legal business name Vandergaast, Deborah Lorraine
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2007
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023233806 NPPES
Iowa MEDICAID 0453555
Iowa Other 3816058

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