Chiropractic Health Care Center Inc | |
128 6th Ave S, Clinton, IA 52732-4103 | |
(563) 243-1268 | |
(563) 243-6691 |
Full Name | Chiropractic Health Care Center Inc |
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Type | Facility |
Speciality | Chiropractor |
Location | 128 6th Ave S, 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 |
---|---|---|---|
1881881142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | A06013 (Iowa) | Primary |
Provider Name | Jennifer L Petersen |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1841279890 PECOS PAC ID: 9638148331 Enrollment ID: I20050420000355 |
Mailing Address | Practice Location Address |
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Chiropractic Health Care Center Inc 128 6th Ave S, Clinton, IA 52732-4103 Ph: (563) 243-1268 | Chiropractic Health Care Center Inc 128 6th Ave S, Clinton, IA 52732-4103 Ph: (563) 243-1268 |
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