Vannatta, Michael David

Vannatta, Michael David is an individual health care provider with primary practice located at 1202 W Howard St , Knoxville IA 50138-3103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Vannatta, Michael David can be contacted via phone (641) 828-7211.

Contact Information

Primary practice address
1202 W Howard St Knoxville IA 50138-3103
Phone: (641) 828-7211
Fax: (641) 842-7030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02160 Iowa

Profile Details

NPI number 1124035357
LBN Legal business name Vannatta, Michael David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jan 7th, 2014 - about 11 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 1124035357 NPPES
Iowa Other 45044 WELLMARK BC&BS IA
Iowa MEDICAID 2039552 WELLMARK BC&BS IA
Iowa MEDICAID 3039552 WELLMARK BC&BS IA
Iowa Other 36316 WELLMARK BC&BS IA

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