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Contact Information

RYAN HAVERKAMP, PT
715 W MAMIE EISENHOWER AVE
BOONE, IA50036-3930
 Phone: 515-432-5274
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for RYAN HAVERKAMP · (Male)

NPI # 1902462807
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 05/15/2019
Last updated 05/15/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • IA License # 092165
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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