Provider Demographics
NPI:1790759512
Name:MAJERUS, DEBORAH A (MD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:A
Last Name:MAJERUS
Suffix:
Gender:F
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:PO BOX 3128
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51102-3128
Mailing Address - Country:US
Mailing Address - Phone:712-239-4702
Mailing Address - Fax:712-224-5898
Practice Address - Street 1:5885 SUNNYBROOK DR
Practice Address - Street 2:SUITE L-200
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51106-4203
Practice Address - Country:US
Practice Address - Phone:712-239-4702
Practice Address - Fax:712-224-5898
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD-32430207RC0000X
SD4478207RC0000X
NE20874207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0173823Medicaid
IA45465Medicare PIN
IA45473Medicare PIN
IA45455Medicare PIN
IA45474Medicare PIN
IA45464Medicare PIN
IA45457Medicare PIN
IA45475Medicare PIN
NE270879Medicare PIN
IA45456Medicare UPIN
IA45469Medicare PIN
G72209Medicare UPIN
IA45470Medicare PIN
IA45468Medicare PIN
IA45459Medicare PIN
IA45461Medicare PIN
IA45462Medicare PIN
IA45467Medicare PIN
IA45471Medicare PIN
IA45472Medicare PIN
IA45464Medicare PIN