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IDEAL HEALTH AND WELLNESS SC NPI 1689013393


NPI Information

NPI: 1689013393
Provider Name: IDEAL HEALTH AND WELLNESS, SC

Doing Business As: IDEAL HEALTH AND WELLNESS, SC, CORP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1850 E 53RD ST STE 2
DAVENPORT, IA
ZIP 52807
Phone: (563) 359-4106
Get Directions

IDEAL HEALTH AND WELLNESS, SC is a family medicine in Davenport, IA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. IDEAL HEALTH AND WELLNESS, SC NPI is 1689013393. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ideal Health And Wellness, Sc, Corp.

The provider's business location address is:

1850 E 53RD ST STE 2
DAVENPORT, IA
ZIP 52807-784
Phone: (563) 359-4106
Fax: (563) 359-4130

The provider's authorized official is Kathryn Frega .
The authorized official title is Owner/doctor and has the following contact phone number (563) 359-4106.

The enumeration date for this NPI number is 6/17/2013 and was last updated on 3/30/2020.


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
1111N00000XChiropractor083863IOWANo
2111N00000XChiropractorNo
3111NI0900XChiropractorInternist038012020ILLINOISNo
4171100000XAcupuncturistNo
5175F00000XNaturopathNo
6363LF0000XNurse PractitionerFamilyNo
7207Q00000XFamily MedicineYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.