Dornbush, Brian R

Dornbush, Brian R is an individual health care provider with primary practice located at 1001 13Th Ave N , Clinton IA 52732-3403. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Dornbush, Brian R can be contacted via phone (563) 242-9343.

Contact Information

Primary practice address
1001 13Th Ave N Clinton IA 52732-3403
Phone: (563) 242-9343
Fax: (563) 242-8507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X A06166 Iowa

Profile Details

NPI number 1568499580
LBN Legal business name Dornbush, Brian R
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568499580 NPPES
Iowa MEDICAID 2180513

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