National Provider Identifier Database

INTERNAL MEDICINE OF COUNCIL BLUFFS PC
Primary Care


Contact Information

INTERNAL MEDICINE OF COUNCIL BLUFFS P.C.
25 S 15TH ST
SUITE 1
COUNCIL BLUFFS, IA51501-3900
Phone: 712-323-0062
Fax: 712-323-5369
Website:
Specialty Taxonomy Code
* Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for INTERNAL MEDICINE OF COUNCIL BLUFFS P.C.

NPI Number 1295905099
Legal business name
LBN
INTERNAL MEDICINE OF COUNCIL BLUFFS P.C.
Authorized official RUBEN ALTMAN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/07/2008
Last updated 03/07/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • IA License #: 19162
  • IA Medicaid: 0092007

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.

Reviews for INTERNAL MEDICINE OF COUNCIL BLUFFS P.C.

There are currently no reviews for INTERNAL MEDICINE OF COUNCIL BLUFFS P.C.


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