1750764650 NPI number — EASTERN IOWA THERAPEUTICS,PC

Table of content: (NPI 1750764650)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750764650 NPI number — EASTERN IOWA THERAPEUTICS,PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EASTERN IOWA THERAPEUTICS,PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750764650
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/27/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
625 ENTERPRISE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OAK BROOK
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60523-8813
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
317 DAKOTA DUNES BLVD
Provider Second Line Business Practice Location Address:
SUITE J
Provider Business Practice Location Address City Name:
DAKOTA DUNES
Provider Business Practice Location Address State Name:
SD
Provider Business Practice Location Address Postal Code:
57049-5341
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
605-540-4516
Provider Business Practice Location Address Fax Number:
605-242-0020
Provider Enumeration Date:
07/09/2015

Additional Information

Authorized Official

Authorized Official Last Name:
COOK
Authorized Official First Name:
GERI
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF CLINICAL SERVICES
Authorized Official Telephone Number:
630-575-1940

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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