National Provider Identifier Database

STATE UNIVERSITY OF IOWA
Student Health


Contact Information

STATE UNIVERSITY OF IOWA
4189 WL UNIVERSITY OF IOWA
IOWA CITY, IA52242-1100
Phone: 319-335-8376
Fax: 319-335-7247
Website:
Specialty Taxonomy Code
* Student Health 261QS1000X

* Indicates primary specialty

NPI Profile & details for STATE UNIVERSITY OF IOWA

NPI Number 1285635664
Legal business name
LBN
STATE UNIVERSITY OF IOWA
Authorized official JAMES KELLOGG - (DIRECTOR STUDENT HEALTH SERVICE)
Entity Organization
Organization subpart Yes
Enumeration date 08/09/2005
Last updated 05/09/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • IA Medicaid: 0089771
  • IA Other: 08977 WELLMARK BC/BS

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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