Michael J Blough in Waterloo - Chiropractor
Michael J Blough - NPI 1275529174
Michael J Blough is a Chiropractor in Waterloo, Iowa. Michael J Blough practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Michael J Blough is 1275529174. The last update date is 2010-11-18.
Michael J Blough's current location address is 2807 University Ave, Waterloo, Iowa. You can contact this provider via phone number 3192336363 and fax number 3192336262. The mailing address for Michael J Blough is 2807 University Ave, Waterloo, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael J Blough |
|---|---|
| Address | 2807 University Ave, Waterloo, Iowa |
| Phone Number | 3192336363 |
| Fax Number | 3192336262 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1275529174 |
|---|---|
| Provider Enumeration Date | 2005-09-26 |
| Last Updated Date | 2010-11-18 |
Provider Mailing Address Detail
| Address | 2807 University Ave |
|---|---|
| City | Waterloo |
| State | Iowa (IA) |
| Post Code | 507013335 |
| Phone Number | 3192336363 |
| Fax Number | 3192336262 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3011 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5421 | IA | -- |
Post Comment/ Review Below
What is the Michael J Blough's 1275529174?
The Michael J Blough's NPI (National Provider Identifier) Number is 1275529174. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Michael J Blough located?
The Michael J Blough is located at 2807 University Ave, Waterloo, IA 507013335.
What is the Michael J Blough's specialty and taxonomy code?
The Michael J Blough's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
When was the Michael J Blough's 1275529174 issued?
The Michael J Blough's 1275529174 was issued on 2005-09-26.
On what date did the Centers for Medicare & Medicaid Services issue the 1275529174 to Michael J Blough?
The Michael J Blough received its 1275529174 assignment from the Centers for Medicare & Medicaid Services on 2005-09-26.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH