Mennenga, Craig G
Mennenga, Craig G is an individual health care provider with primary practice located at 1810 4Th St Sw Ste 103B , Waverly IA 50677-4389. 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. Mennenga, Craig G can be contacted via phone (319) 352-4544.Contact Information
Primary practice address
1810 4Th St Sw Ste 103B
Waverly IA 50677-4389
Phone: (319) 352-4544
Fax: (319) 352-4655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 00430 | Iowa |
Profile Details
| NPI number | 1831421049 |
|---|---|
| LBN Legal business name | Mennenga, Craig G |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2010 |
| Last updated | Feb 12th, 2010 - about 14 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 | 1831421049 | NPPES |
| Iowa | MEDICAID | 0665992 |
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