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2555 Berkshire Pkwy, Suite F, Clive, IA 50325-4646 | |
| (515) 987-6332 | |
| Not Available |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2555 Berkshire Pkwy, Clive, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003240821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 007096 (Iowa) | Primary |
| Provider Name | Abel J Shaw |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700061991 PECOS PAC ID: 5799859609 Enrollment ID: I20080811000104 |
| Provider Name | Ryan Donahue |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013480706 PECOS PAC ID: 4688913031 Enrollment ID: I20190228002119 |
| Mailing Address | Practice Location Address |
|---|---|
2555 Berkshire Pkwy, Suite F, Clive, IA 50325-4646 Ph: (515) 987-6332 | 2555 Berkshire Pkwy, Suite F, Clive, IA 50325-4646 Ph: (515) 987-6332 |
Blair Camille Runde, PA-C Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 12493 University Ave Ste 100, Clive, IA 50325 Phone: 515-358-9461 Fax: 515-358-9489 | |
Ryan Donahue, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2555 Berkshire Pkwy Ste F, Clive, IA 50325 Phone: 515-987-6332 | |
Trent J Fugere, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2180 Nw 156th St, Suite 102, Clive, IA 50325 Phone: 515-987-0299 Fax: 515-987-5865 | |
Simply Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 12871 University Ave., Suite #110, Clive, IA 50325 Phone: 515-224-0050 | |
Champion Family Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 11050 Hickman Rd, Clive, IA 50325 Phone: 515-777-1014 Fax: 515-777-1015 | |