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Contact Information

ABLM NORTHEAST PROFESIONAL ASSOCIATION
2116 LOGAN AVE
WATERLOO, IA50703-1006
 Phone: 319-235-1151
 Fax: 319-235-2804
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ABLM NORTHEAST PROFESIONAL ASSOCIATION

NPI Number 1710054994
LBN Legal business name ABLM NORTHEAST PROFESIONAL ASSOCIATION
Authorized official MARVIN VORE - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/30/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
IA Medicaid 0008052
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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