Provider Demographics
NPI:1477769149
Name:DR. JOHN A. VAUBEL, P.C.
Entity Type:Organization
Organization Name:DR. JOHN A. VAUBEL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:VAUBEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-262-3496
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA23567207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI7618Medicare PIN