Hanks, Douglas J

Hanks, Douglas J is an individual health care provider with primary practice located at 433 E Mount Pleasant St , West Burlington IA 52655-1324. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Hanks, Douglas J can be contacted via phone (319) 753-5441.

Contact Information

Primary practice address
433 E Mount Pleasant St West Burlington IA 52655-1324
Fax: (319) 753-5442
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X A05646 Iowa

Profile Details

NPI number 1912004482
LBN Legal business name Hanks, Douglas J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2006
Last updated Jun 9th, 2008 - about 16 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 1912004482 NPPES
Iowa MEDICAID 0088989
Iowa Other 09196

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