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ADVANCED CHIROPRACTIC NPI 1316113061


NPI Information

NPI: 1316113061
Provider Name: ADVANCED CHIROPRACTIC
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
1851 MADISON AVE STE 550
COUNCIL BLUFFS, IA
ZIP 51503
Phone: (712) 256-5440
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ADVANCED CHIROPRACTIC is a preferred provider organization in Council Bluffs, IA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. ADVANCED CHIROPRACTIC NPI is 1316113061. The provider is registered as an organization entity type.

The provider's business location address is:

1851 MADISON AVE STE 550
COUNCIL BLUFFS, IA
ZIP 51503-606
Phone: (712) 256-5440
Fax: (712) 256-5441

The provider's authorized official is Daniel C Kjeldgaard .
The authorized official title is Doctor Of Chiropractic and has the following contact phone number (712) 256-5540.

The enumeration date for this NPI number is 5/2/2008 and was last updated on 5/2/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider Organization06482IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11261545MEDICAIDIOWA
2I6615MEDICARE PINIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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