Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1700X | Ocularist |
NPI | 1376526566 |
---|---|
Provider Name | Daniel C Yeager |
First Address | Iowa City, IA 52240-4551 |
Second Address | Iowa City, IA 52240-4551 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2005 |
Last Update Date | 08/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0030726 | (05) | IA |
48910 | BC/BS OF IOWA (01) | IA |
5100HN | JOHN DEERE HEALTH CARE (01) | IA |