National Provider Identifier Database

BLACK HAWK CENTER FOR INDEPENDENT LIVING
Bus

A public or private organization or business licensed to provide bus services.


Contact Information

BLACK HAWK CENTER FOR INDEPENDENT LIVING
312 JEFFERSON ST
WATERLOO, IA50701-1322
Phone: 319-291-7755
Fax: 319-291-7781
Website:
Specialty Taxonomy Code
* Bus 347B00000X

* Indicates primary specialty

NPI Profile & details for BLACK HAWK CENTER FOR INDEPENDENT LIVING

NPI Number 1902024417
Legal business name
LBN
BLACK HAWK CENTER FOR INDEPENDENT LIVING
Authorized official DAVID SCHUMAKER - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 04/22/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • IA License #: 0454736

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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