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Contact Information

MATTHEW DIETZ, D.C., C.C.S.P
5815 COUNCIL ST NE
SUITE A-1
CEDAR RAPIDS, IA52402-5893
 Phone: 319-393-1555
 Fax: 319-393-2312
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for MATTHEW DIETZ · (Male)

NPI Number 1558494781
Status Active
Credentials D.C., C.C.S.P
Entity Individual
Enumeration date 03/14/2007
Last updated 10/08/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 06793
  • IL License # 038-010487
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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