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Contact Information

RYAN S BAKKE, DO
204 N 4TH AVE E
NEWTON, IA50208-3135
 Phone: 641-792-1273
 Fax: 641-791-4852
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RYAN S BAKKE · (Male)

NPI Number 1225030406
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/01/2005
Last updated 11/19/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 3471
  • IA Medicaid 0422048
  • Other 546840006 MEDICARE PTAN
  • IA Other 35873 BCBS PROVIDER #
  • IA Other 546830006 MEDICARE PTAN
Hospital affiliation(s)
  • BROADLAWNS MEDICAL CENTER - (Acute Care)
    1801 HICKMAN ROAD
    DES MOINES, IA 50314
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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