Diercks-Oetzel, Kimberly Ann
Diercks-Oetzel, Kimberly Ann is an sole proprietor health care provider with primary practice located at 2322 E Kimberly Rd , Davenport IA 52807-7205. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Diercks-Oetzel, Kimberly Ann can be contacted via phone (563) 359-0899.Contact Information
Primary practice address
2322 E Kimberly Rd
Davenport IA 52807-7205
Phone: (563) 359-0899
Fax: (563) 441-1577
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | A05653 | Iowa |
Profile Details
| NPI number | 1548235096 |
|---|---|
| LBN Legal business name | Diercks-Oetzel, Kimberly Ann |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548235096 | NPPES |
| Iowa | MEDICAID | 0088617 |
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