National Provider Identifier Database

RICK NELSON ENDODONTIC PC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

RICK NELSON ENDODONTIC PC
974 73RD ST
SUITE 18
WINDSOR HEIGHTS, IA50312-1024
Phone: 515-223-0602
Fax: 515-223-7346
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for RICK NELSON ENDODONTIC PC

NPI Number 1972760916
Legal business name
LBN
RICK NELSON ENDODONTIC PC
Authorized official RICKY NELSON - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/19/2008
Last updated 05/19/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • IA License #: 06911
  • IA Other: 1922095983 TYPE 1 NPI#

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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