Fonley, Mitchell Herman

Fonley, Mitchell Herman is an individual health care provider with primary practice located at 1631 Logan Ave , Waterloo IA 50703-1237. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Fonley, Mitchell Herman can be contacted via phone (319) 232-2630.

Contact Information

Primary practice address
1631 Logan Ave Waterloo IA 50703-1237
Phone: (319) 232-2630
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 03651 Iowa

Profile Details

NPI number 1992758163
LBN Legal business name Fonley, Mitchell Herman
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Feb 4th, 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.

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