Provider Demographics
NPI:1649560236
Name:URBAN EFFECTS MEDSPA INC.
Entity Type:Organization
Organization Name:URBAN EFFECTS MEDSPA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:CALHOUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-987-5188
Mailing Address - Street 1:2480 BERKSHIRE PKWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-4683
Mailing Address - Country:US
Mailing Address - Phone:515-987-5188
Mailing Address - Fax:
Practice Address - Street 1:2480 BERKSHIRE PKWY
Practice Address - Street 2:SUITE B
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-4683
Practice Address - Country:US
Practice Address - Phone:515-987-5188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-15
Last Update Date:2011-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA-059121363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty