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Contact Information

MARK A DE RUYTER, LMSW
116 E. 11TH ST.
SPENCER, IA51301
 Phone: 712-264-6048
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for MARK A DE RUYTER · (Male)

NPI # 1427482199
Status Active
Credentials LMSW (Licensed Master Social Worker)
Entity Individual
Enumeration date 08/29/2013
Last updated 08/29/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 02160
  • IA Other 02160 SOCIAL WORK LICENSE
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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