Provider Demographics
NPI:1134117468
Name:VAUBEL, JOHN ARTHUR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ARTHUR
Last Name:VAUBEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:IA
Mailing Address - Zip Code:51301-3904
Mailing Address - Country:US
Mailing Address - Phone:712-262-3496
Mailing Address - Fax:712-262-2309
Practice Address - Street 1:8 W 5TH ST
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:IA
Practice Address - Zip Code:51301-3904
Practice Address - Country:US
Practice Address - Phone:712-262-3496
Practice Address - Fax:712-262-2309
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-11
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA23567207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0298430Medicaid
IA0298430Medicaid
IAI7618Medicare ID - Type Unspecified