Knobloch, Tadd Lee

Knobloch, Tadd Lee is an sole proprietor health care provider with primary practice located at 110 S 1St Ave E , Hartley IA 51346-1435. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Knobloch, Tadd Lee can be contacted via phone (712) 728-2364.

Contact Information

Primary practice address
110 S 1St Ave E Hartley IA 51346-1435
Phone: (712) 728-2364
Fax: (712) 728-3409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X A06014 Iowa

Profile Details

NPI number 1558451518
LBN Legal business name Knobloch, Tadd Lee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558451518 NPPES
Iowa MEDICAID 1151852

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