INNATE CHIROPRACTIC PLC NPI 1790252096

NPI Information

  • NPI: 1790252096
  • Provider Name: INNATE CHIROPRACTIC, PLC
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 3536 JERSEY RIDGE RD
    DAVENPORT, IA
    ZIP 52807
  • Phone: (740) 260-1635

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NPI Details

INNATE CHIROPRACTIC, PLC is a health service clinic center in Davenport, IA. INNATE CHIROPRACTIC, PLC NPI is 1790252096. The provider is registered as an organization entity type.

The provider's business location address is:

3536 JERSEY RIDGE RD
DAVENPORT, IA
ZIP 52807-223
Phone: (740) 260-1635

The provider's authorized official is Dalton Daniel Doudna .
The authorized official title is Chiropractor and has the following contact phone number (740) 260-1635.

The enumeration date for this NPI number is 10/25/2018 and was last updated on 10/25/2018.

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
1261QH0100XClinic/CenterHealth ServiceYes

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
11457826497MEDICAIDIOWA

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: 11/21/2025

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