Waack, Matthew Lawrence
Waack, Matthew Lawrence is an sole proprietor health care provider with primary practice located at 115 Mckinsey Dr , Maquoketa IA 52060-2014. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Waack, Matthew Lawrence can be contacted via phone (563) 652-6884.Contact Information
Primary practice address
115 Mckinsey Dr
Maquoketa IA 52060-2014
Phone: (563) 652-6884
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 06673 | Iowa |
Profile Details
| NPI number | 1801911011 |
|---|---|
| LBN Legal business name | Waack, Matthew Lawrence |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1801911011 | NPPES |
| Iowa | Other | 13914 | BLUE CROSS BLUE SHIELD |
| Iowa | MEDICAID | 0443788 | BLUE CROSS BLUE SHIELD |
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