Wheelock, Douglas Alan
Wheelock, Douglas Alan is an individual health care provider with primary practice located at 4100 Morningside Ave Suite B, Sioux City IA 51106-2974. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wheelock, Douglas Alan can be contacted via phone (712) 274-2038.Contact Information
Primary practice address
4100 Morningside Ave Suite B
Sioux City IA 51106-2974
Phone: (712) 274-2038
Fax: (712) 274-0648
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6154 | Iowa |
Profile Details
| NPI number | 1730215351 |
|---|---|
| LBN Legal business name | Wheelock, Douglas Alan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730215351 | NPPES |
| Iowa | MEDICAID | 0131425 |
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