Dierks, Stacia Nissen

Dierks, Stacia Nissen is an individual health care provider with primary practice located at 3200 Westown Pkwy , West Des Moines IA 50266-1110. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Dierks, Stacia Nissen can be contacted via phone (515) 276-1212.

Contact Information

Primary practice address
3200 Westown Pkwy West Des Moines IA 50266-1110
Phone: (515) 276-1212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 073738 Iowa

Profile Details

NPI number 1376952036
LBN Legal business name Dierks, Stacia Nissen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2014
Last updated Sep 11th, 2014 - about 11 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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