| Dewitt Family Chiropractic Pc | |
|
4245 1st Ave Se Cedar Rapids IA 52402-3169 | |
| (319) 329-5946 | |
| Not Available |
| Full Name | Dewitt Family Chiropractic Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4245 1st Ave Se, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Travis Dewitt (OWNER/CHIROPRACTOR) |
| Authorized Official Contact | 3193295946 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dewitt Family Chiropractic Pc 4245 1st Ave Se Cedar Rapids IA 52402-3169 Ph: (319) 329-5946 | Dewitt Family Chiropractic Pc 4245 1st Ave Se Cedar Rapids IA 52402-3169 Ph: (319) 329-5946 |
| NPI Number | 1902274202 |
|---|---|
| Provider Enumeration Date | 09/03/2015 |
| Last Update Date | 09/03/2015 |
| Medicare PECOS PAC ID | 8123335221 |
|---|---|
| Medicare Enrollment ID | O20150923000054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902274202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 078815 (Iowa) | Primary |
| Provider Name | Travis C Dewitt |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578949137 PECOS PAC ID: 1759698855 Enrollment ID: I20150923000165 |
| Provider Name | Nicole Ann Dewitt |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801331616 PECOS PAC ID: 8022392653 Enrollment ID: I20170313001298 |
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