Shirk, Gregory J
Shirk, Gregory J is an sole proprietor health care provider with primary practice located at 630 1St St Nw , Mason City IA 50401-2947. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Shirk, Gregory J can be contacted via phone (641) 423-4455.Contact Information
Primary practice address
630 1St St Nw
Mason City IA 50401-2947
Phone: (641) 423-4455
Fax: (641) 423-0354
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | A05882 | Iowa |
Profile Details
| NPI number | 1629064464 |
|---|---|
| LBN Legal business name | Shirk, Gregory J |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Nov 19th, 2014 - about 10 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 | 1629064464 | NPPES |
| Iowa | MEDICAID | 0121657 | |
| Iowa | Other | 59606 |
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