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Contact Information

TADD L KNOBLOCH, D.C,
110 S 1ST AVE E
HARTLEY, IA51346-1435
 Phone: 712-728-2364
 Fax: 712-728-3409
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for TADD L KNOBLOCH · (Male)

NPI # 1558451518
Status Active
Credentials D.C,
Entity Individual
Enumeration date 10/13/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • IA License # A06014
  • IA Medicaid 1151852
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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