Organization
ON WITH LIFE, INC.
Active
Organization
ON WITH LIFE, INC.
Active
Other names
On With
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN LUFT-WISKUS (CREDENTIALING)
(515) 289-9703
Entity
Organization
Contact information
Practice address
715 SW ANKENY RD, ANKENY, IA 50023-5999
(515) 289-9662
(515) 289-9649
Mailing address
715 SW ANKENY RD, ANKENY, IA 50023-5999
(515) 289-9662
(515) 289-9649
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103T00000X
Psychologist
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0651638
—
IA
Enumeration date
06/22/2018
Last updated
09/18/2023
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