| |
1103 N Elm St, Ste 102, West Liberty, IA 52776-1006 | |
(319) 627-6461 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 1103 N Elm St, West Liberty, Iowa |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700096989 | NPI | - | NPPES |
29848 | Other | IA | WELLMARK BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 06934 (Iowa) | Primary |
Provider Name | Dana Lynn Nelson |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1134191620 PECOS PAC ID: 3870517840 Enrollment ID: I20070522000649 |
Mailing Address | Practice Location Address |
---|---|
1103 N Elm St, Ste 102, West Liberty, IA 52776-1006 Ph: (319) 627-6461 | 1103 N Elm St, Ste 102, West Liberty, IA 52776-1006 Ph: (319) 627-6461 |
Dr. Dana Lynn Nelson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1103 N Elm St, Suite 102, West Liberty, IA 52776 Phone: 319-627-6461 |