Siemen, Douglas

Siemen, Douglas is an sole proprietor health care provider with primary practice located at 2170 Delta Ave , West Liberty IA 52776-9012. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Siemen, Douglas can be contacted via phone (563) 212-5593.

Contact Information

Primary practice address
2170 Delta Ave West Liberty IA 52776-9012
Phone: (563) 212-5593
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 5076 Iowa

Profile Details

NPI number 1871968024
LBN Legal business name Siemen, Douglas
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2015
Last updated Dec 14th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871968024 NPPES
Iowa Other 5076 IOWA THERAPY LICENSE

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