Individual
MS. PAULETTE ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1801 E 54TH ST, STE 100, DAVENPORT, IA 52807-7209
(563) 323-1229
(563) 323-8240
Mailing address
1801 E 54TH ST STE 100, DAVENPORT, IA 52807-7214
(563) 323-1229
(563) 323-8240
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001272
IA
363AM0700X
Medical Physician Assistant
085001740
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970024406
RAILROAD MEDICARE
IA
01
—
970024407
RAILROAD MEDICARE
IL
Enumeration date
02/17/2006
Last updated
04/26/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us