Vanderloo, Lance E

Vanderloo, Lance E is an individual health care provider with primary practice located at 3731 Kimball Ave , Waterloo IA 50702-5728. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Vanderloo, Lance E can be contacted via phone (319) 232-1143.

Contact Information

Primary practice address
3731 Kimball Ave Waterloo IA 50702-5728
Phone: (319) 232-1143
Fax: (319) 232-3279
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 04432 Iowa

Profile Details

NPI number 1003817305
LBN Legal business name Vanderloo, Lance E
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003817305 NPPES
Iowa MEDICAID 0032300

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