Diercks, Amy M
Diercks, Amy M is an individual health care provider with primary practice located at 214 Blairs Ferry Rd Ne , Cedar Rapids IA 52402-1602. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Diercks, Amy M can be contacted via phone (319) 378-1515.Contact Information
Primary practice address
214 Blairs Ferry Rd Ne
Cedar Rapids IA 52402-1602
Phone: (319) 378-1515
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 06782 | Iowa |
Profile Details
| NPI number | 1154393403 |
|---|---|
| LBN Legal business name | Diercks, Amy M |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jul 19th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154393403 | NPPES |
| Iowa | MEDICAID | 0460469 | |
| Iowa | Other | 38558 |
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