Vanderkwaak, Vicki Lynn

Vanderkwaak, Vicki Lynn is an individual health care provider with primary practice located at 6200 Aurora Ave Ste 302W, Urbandale IA 50322-2800. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Vanderkwaak, Vicki Lynn can be contacted via phone (515) 331-0303.

Contact Information

Primary practice address
6200 Aurora Ave Ste 302W Urbandale IA 50322-2800
Phone: (515) 331-0303
Fax: (515) 331-9086
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1265469035
LBN Legal business name Vanderkwaak, Vicki Lynn
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jul 8th, 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 1265469035 NPPES
Iowa MEDICAID 0136879

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