Noack, Todd

Noack, Todd is an individual health care provider with primary practice located at 222 12Th St , De Witt IA 52742-1116. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Noack, Todd can be contacted via phone (563) 726-3244.

Contact Information

Primary practice address
222 12Th St De Witt IA 52742-1116
Phone: (563) 726-3244
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X PR16012 Iowa

Profile Details

NPI number 1366941189
LBN Legal business name Noack, Todd
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2018
Last updated Jun 11th, 2019 - about 6 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 1366941189 NPPES
Iowa MEDICAID 82-0730805

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