Diercks, Allen Lee

Diercks, Allen Lee is an individual health care provider with primary practice located at 2322 E Kimberly Rd C 1, Davenport IA 52807-7205. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Diercks, Allen Lee can be contacted via phone (563) 388-9492.

Contact Information

Primary practice address
2322 E Kimberly Rd C 1 Davenport IA 52807-7205
Phone: (563) 388-9492
Fax: (563) 388-0019
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4736 Iowa

Profile Details

NPI number 1992771695
LBN Legal business name Diercks, Allen Lee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Aug 21st, 2019 - about 5 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 1992771695 NPPES
Iowa MEDICAID 0203828

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