Hintz, Brent Matthew

Hintz, Brent Matthew is an individual health care provider with primary practice located at 212 West Dale St. Suite 402, Waterloo IA 50703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Hintz, Brent Matthew can be contacted via phone (319) 235-3865.

Contact Information

Primary practice address
212 West Dale St. Suite 402 Waterloo IA 50703
Fax: (319) 235-3873
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 23079 Iowa

Profile Details

NPI number 1558477745
LBN Legal business name Hintz, Brent Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Aug 15th, 2012 - about 12 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 1558477745 NPPES
Iowa MEDICAID 0046805

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