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WAUKEE CHIROPRACTIC CENTER PC NPI 1083074819


NPI Information

NPI: 1083074819
Provider Name: WAUKEE CHIROPRACTIC CENTER PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2180 NW 156TH ST
SUITE 102
CLIVE, IA
ZIP 50325
Phone: (515) 987-0299
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WAUKEE CHIROPRACTIC CENTER PC is a chiropractor in Clive, 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. WAUKEE CHIROPRACTIC CENTER PC NPI is 1083074819. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2180 NW 156TH ST
SUITE 102
CLIVE, IA
ZIP 50325-982
Phone: (515) 987-0299
Fax: (515) 989-7586

The provider's authorized official is Trent Julian Fugere .
The authorized official title is Chiropractor and has the following contact phone number (515) 987-0299.

The enumeration date for this NPI number is 3/7/2016 and was last updated on 4/5/2017.


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
1111N00000XChiropractorA05949IOWAYes

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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