Active Chiropractic P C | |
1001 13th Ave N, Clinton, IA 52732-3403 | |
(563) 242-9343 | |
Not Available |
Full Name | Active Chiropractic P C |
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Type | Facility |
Speciality | Chiropractor - Sports Physician |
Location | 1001 13th Ave N, Clinton, Iowa |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194149203 | NPI | - | NPPES |
2180513 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
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111NS0005X | Chiropractor - Sports Physician | A06166 (Iowa) | Primary |
Provider Name | Brian R Dornbush |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1568499580 PECOS PAC ID: 6305801937 Enrollment ID: I20041123000666 |
Mailing Address | Practice Location Address |
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Active Chiropractic P C 1001 13th Ave N, Clinton, IA 52732-3403 Ph: (563) 242-9343 | Active Chiropractic P C 1001 13th Ave N, Clinton, IA 52732-3403 Ph: (563) 242-9343 |
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