Dirks, Stanley Albert
Dirks, Stanley Albert is an individual health care provider with primary practice located at 1601 Mcpherson Ave , Council Bluffs IA 51503-5167. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Dirks, Stanley Albert can be contacted via phone (712) 328-1625.Contact Information
Primary practice address
1601 Mcpherson Ave
Council Bluffs IA 51503-5167
Phone: (712) 328-1625
Fax: (712) 388-0389
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 04944 | Iowa |
Profile Details
| NPI number | 1053461608 |
|---|---|
| LBN Legal business name | Dirks, Stanley Albert |
| Credentials | M.S., D.C. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1053461608 | NPPES |
| Iowa | MEDICAID | 0208868 |
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