Provider Demographics
NPI:1033706437
Name:VERIDIAN FISCAL SOLUTIONS LLC
Entity Type:Organization
Organization Name:VERIDIAN FISCAL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING AND BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:DENICCA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-833-1187
Mailing Address - Street 1:PO BOX 4502
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50704-4502
Mailing Address - Country:US
Mailing Address - Phone:855-828-0775
Mailing Address - Fax:
Practice Address - Street 1:233 FISHER DR
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50701-9008
Practice Address - Country:US
Practice Address - Phone:855-828-0775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-31
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health