Stader, John David
Stader, John David is an sole proprietor health care provider with primary practice located at 2400 18Th St Suite 101, Bettendorf IA 52722-3280. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Stader, John David can be contacted via phone (563) 355-2020.Contact Information
Primary practice address
2400 18Th St Suite 101
Bettendorf IA 52722-3280
Phone: (563) 355-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | 06575 | Iowa |
Profile Details
| NPI number | 1679592133 |
|---|---|
| LBN Legal business name | Stader, John David |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 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 | 1679592133 | NPPES |
| Iowa | Other | 34148 | BLUE CROSS BLUE SHIELD |
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