Shank, Coburn

Shank, Coburn is an individual health care provider with primary practice located at 1601 Nw 114Th St Suite 155, Clive IA 50325-7007. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Shank, Coburn can be contacted via phone (515) 222-7350.

Contact Information

Primary practice address
1601 Nw 114Th St Suite 155 Clive IA 50325-7007
Phone: (515) 222-7350
Fax: (515) 222-7355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 02418 Iowa

Profile Details

NPI number 1558478263
LBN Legal business name Shank, Coburn
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Jul 21st, 2022 - about 4 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 1558478263 NPPES
Iowa MEDICAID 0452409

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