Modrell, Jace
Modrell, Jace is an individual health care provider with primary practice located at 3290 Ridgeway Dr Ste 3 , Coralville IA 52241-2023. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Modrell, Jace can be contacted via phone (319) 665-2630.Contact Information
Primary practice address
3290 Ridgeway Dr Ste 3
Coralville IA 52241-2023
Phone: (319) 665-2630
Fax: (319) 665-2631
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 093267 | Iowa |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 099040 | Iowa |
Profile Details
NPI number | 1679105944 |
---|---|
LBN Legal business name | Modrell, Jace |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 5th, 2020 |
Last updated | May 17th, 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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