West End Chiropractic Llc | |
12931 University Ave Ste 103, Clive, IA 50325-8282 | |
(515) 223-9896 | |
(855) 301-8183 |
Full Name | West End Chiropractic Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 12931 University Ave Ste 103, 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 |
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1407323215 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Justin John Behnke |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1215404157 PECOS PAC ID: 1153666102 Enrollment ID: I20181219000665 |
Provider Name | Kaitlyn M Bottorff |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1699243014 PECOS PAC ID: 4981949930 Enrollment ID: I20181219000845 |
Mailing Address | Practice Location Address |
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West End Chiropractic Llc 12931 University Ave Ste 103, Clive, IA 50325-8282 Ph: (515) 223-9896 | West End Chiropractic Llc 12931 University Ave Ste 103, Clive, IA 50325-8282 Ph: (515) 223-9896 |
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