1780968768 NPI number — MRS. LYNETTE ILLENE STEINKAMP MSW, LISW

Table of content: MRS. LYNETTE ILLENE STEINKAMP MSW, LISW (NPI 1780968768)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780968768 NPI number — MRS. LYNETTE ILLENE STEINKAMP MSW, LISW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STEINKAMP
Provider First Name:
LYNETTE
Provider Middle Name:
ILLENE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MSW, LISW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SCHWANDT
Provider Other First Name:
LYNETTE
Provider Other Middle Name:
ILLENE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSW, LISW
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1780968768
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/07/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
802 KENYON ROAD
Provider Second Line Business Mailing Address:
TRINITY REGIONAL MEDICAL CENTER
Provider Business Mailing Address City Name:
FORT DODGE
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50501-9966
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
515-574-6770
Provider Business Mailing Address Fax Number:
515-574-6912

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
802 KENYON ROAD
Provider Second Line Business Practice Location Address:
TRINITY REGIONAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
FORT DODGE
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50501-9966
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-574-6770
Provider Business Practice Location Address Fax Number:
515-574-6912
Provider Enumeration Date:
10/07/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  01206 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com