Mouw, Mark Alan
Mouw, Mark Alan is an individual health care provider with primary practice located at 20 Power Dr Suite 1, Council Bluffs IA 51501-7734. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mouw, Mark Alan can be contacted via phone (712) 366-1611.Contact Information
Primary practice address
20 Power Dr Suite 1
Council Bluffs IA 51501-7734
Phone: (712) 366-1611
Fax: (712) 366-0722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 06534 | Iowa |
Profile Details
| NPI number | 1487633178 |
|---|---|
| LBN Legal business name | Mouw, Mark Alan |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1487633178 | NPPES |
| Nebraska | MEDICAID | 10025239400 | |
| Nebraska | MEDICAID | 1270090 |
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