Wilkins, Jeffrey David
Wilkins, Jeffrey David is an sole proprietor health care provider with primary practice located at 1825 Logan Ave , Waterloo IA 50703-1916. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Wilkins, Jeffrey David can be contacted via phone (319) 235-3697.Contact Information
Primary practice address
1825 Logan Ave
Waterloo IA 50703-1916
Phone: (319) 235-3697
Fax: (319) 235-3698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 3446 | Iowa |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 3446 | Iowa |
Profile Details
| NPI number | 1881680130 |
|---|---|
| LBN Legal business name | Wilkins, Jeffrey David |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Sep 23rd, 2010 - about 16 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 | 1881680130 | NPPES |
| Iowa | MEDICAID | 5264507 |
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