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Contact Information

HEALTHY AGING AND MEMORY CLINIC
1300 50TH STREET
SUITE 104
WEST DES MOINES, IA50266
 Phone: 515-224-4100
 Fax: 515-224-4926
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for HEALTHY AGING AND MEMORY CLINIC · (Female)

NPI # 1417044645
Status Active
Credentials
Entity Individual
Enumeration date 10/09/2006
Last updated 10/04/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • IA License # 22610
  • IA Medicaid 2184259
Hospital affiliation(s) Not Available
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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