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ADVANCED SPINE & EXTREMITY CLINIC INC NPI 1497971907


NPI Information

NPI: 1497971907
Provider Name: ADVANCED SPINE & EXTREMITY CLINIC INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
6015 UNIVERSITY AVE
CEDAR FALLS, IA
ZIP 50613
Phone: (319) 277-9755
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ADVANCED SPINE & EXTREMITY CLINIC INC is a chiropractor in Cedar Falls, 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. ADVANCED SPINE & EXTREMITY CLINIC INC NPI is 1497971907. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6015 UNIVERSITY AVE
CEDAR FALLS, IA
ZIP 50613-598
Phone: (319) 277-9755

The provider's authorized official is Jason Rose .
The authorized official title is Doctor and has the following contact phone number (319) 277-9755.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 3/5/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor06742IOWAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I14370MEDICARE ID-TYPE UNSPECIFIEDIOWA
2V03215MEDICARE UPINIOWA
30454702MEDICAIDIOWA

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: 5/5/2024
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