Blough, Michael J

Blough, Michael J is an individual health care provider with primary practice located at 2807 University Ave , Waterloo IA 50701-3335. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Blough, Michael J can be contacted via phone (319) 233-6363.

Contact Information

Primary practice address
2807 University Ave Waterloo IA 50701-3335
Phone: (319) 233-6363
Fax: (319) 233-6262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 03011 Iowa

Profile Details

NPI number 1275529174
LBN Legal business name Blough, Michael J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Nov 18th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275529174 NPPES
Iowa MEDICAID 0005421

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