MEDICARE: ADAMS & BAUMBACH ASSOC., P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	00040	IA

General Provider Information

NPI Number	:	1417013285
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADAMS & BAUMBACH ASSOC., P.C.

Provider Business Mailing Address
First Line	:	320 KIRKWOOD AVE
Second Line	:	STE. 1
City	:	IOWA CITY
State	:	IA
Zip	:	52240-4754
Country	:	US
Telephone Number	:	319-351-6654
Fax Number	:	319-339-0905

Provider Business Practice Location Address
First Line	:	320 KIRKWOOD AVE
Second Line	:	STE. 1
City	:	IOWA CITY
State	:	IA
Zip	:	52240-4754
Country	:	US
Telephone Number	:	319-351-6654
Fax Number	:	319-358-6842

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	DIANE J. BAUMBACH
Credential	:	L.I.S.W.
Telephone Number	:	319-351-6654

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	06/11/2008

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