National Provider Identifier Database

HUMBOLDT SPINE REHAB PC
Primary Care


Contact Information

HUMBOLDT SPINE & REHAB PC
1201 6TH AVE N
HUMBOLDT, IA50548-1102
Phone: 515-368-0086
Fax:
Website:
Specialty Taxonomy Code
* Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for HUMBOLDT SPINE & REHAB PC

NPI Number 1578803599
Legal business name
LBN
HUMBOLDT SPINE & REHAB PC
Authorized official MARK CIRKS - (VP/SECRETARY)
Entity Organization
Organization subpart No
Enumeration date 02/28/2013
Last updated 02/28/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • IA License #: 007613

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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