Provider Demographics
NPI:1932105855
Name:TREIBER, KARL D (DO)
Entity Type:Individual
Prefix:
First Name:KARL
Middle Name:D
Last Name:TREIBER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:865 LINCOLN RD
Mailing Address - Street 2:STE L10
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-4159
Mailing Address - Country:US
Mailing Address - Phone:563-355-9191
Mailing Address - Fax:563-355-3419
Practice Address - Street 1:865 LINCOLN RD
Practice Address - Street 2:STE 400
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-4159
Practice Address - Country:US
Practice Address - Phone:563-355-7548
Practice Address - Fax:563-355-7540
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA3380207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA2212423Medicaid
220426OtherIOWA HEALTH SOLUTIONS
34764OtherWELLMARK HEALTH PLANS
4796890004OtherDMERC
085064OtherHEALTH ALLIANCE
IA01J5OtherJOHN DEERE HEALTH PLANS
4796890004OtherDMERC
34764OtherWELLMARK HEALTH PLANS
IA2212423Medicaid