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PRAIRIELANDS CHIROPRACTIC CLINIC P.C. NPI 1477837615


NPI Information

NPI: 1477837615
Provider Name: PRAIRIELANDS CHIROPRACTIC CLINIC P.C.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
300 W BROADWAY
SUITE 712
COUNCIL BLUFFS, IA
ZIP 51503
Phone: (712) 256-2561
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PRAIRIELANDS CHIROPRACTIC CLINIC P.C. is a chiropractor in Council Bluffs, IA. The provider is 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 interrelationship with other body systems. PRAIRIELANDS CHIROPRACTIC CLINIC P.C. NPI is 1477837615. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 W BROADWAY
SUITE 712
COUNCIL BLUFFS, IA
ZIP 51503-078
Phone: (712) 256-2561
Fax: (712) 256-1927

The provider's authorized official is Tonweya Willow Langille .
The authorized official title is Doctor and has the following contact phone number (712) 256-2561.

The enumeration date for this NPI number is 10/6/2011 and was last updated on 10/13/2011.


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
1111N00000XChiropractor007034IOWAYes

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
10400821MEDICAIDIOWA
2IB1021MEDICARE PIN
310025584600MEDICAIDNEBRASKA

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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