| Back In Action Chiropractic Llc | |
|
622 Burnett Ave Ames IA 50010-6126 | |
| (515) 232-9075 | |
| (515) 232-4995 |
| Full Name | Back In Action Chiropractic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 622 Burnett Ave, Ames, Iowa |
| Authorized Official Name and Position | Benjamin Heun (OWNER) |
| Authorized Official Contact | 5152329075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Back In Action Chiropractic Llc 622 Burnett Ave Po Box 1728 Ames IA 50010-6126 Ph: (515) 232-9075 | Back In Action Chiropractic Llc 622 Burnett Ave Ames IA 50010-6126 Ph: (515) 232-9075 |
| NPI Number | 1417202631 |
|---|---|
| Provider Enumeration Date | 07/14/2012 |
| Last Update Date | 07/14/2012 |
| Medicare PECOS PAC ID | 5991955437 |
|---|---|
| Medicare Enrollment ID | O20121018000707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417202631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 007550 (Iowa) | Primary |
| Provider Name | Benjamin Thomas Heun |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1972858199 PECOS PAC ID: 6800046343 Enrollment ID: I20121018000768 |
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