| Donnellson Chiropractic Clinic, Pc | |
|
616 Madison Ave Donnellson IA 52625-9453 | |
| (319) 835-9011 | |
| (319) 835-9012 |
| Full Name | Donnellson Chiropractic Clinic, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 616 Madison Ave, Donnellson, Iowa |
| Authorized Official Name and Position | Rhonda Joy Maassen (OWNER/PRESIDENT) |
| Authorized Official Contact | 3198359011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donnellson Chiropractic Clinic, Pc 616 Madison Ave Donnellson IA 52625-9453 Ph: (319) 835-9011 | Donnellson Chiropractic Clinic, Pc 616 Madison Ave Donnellson IA 52625-9453 Ph: (319) 835-9011 |
| NPI Number | 1083850283 |
|---|---|
| Provider Enumeration Date | 12/18/2008 |
| Last Update Date | 10/01/2018 |
| Medicare PECOS PAC ID | 9436214525 |
|---|---|
| Medicare Enrollment ID | O20090225000095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083850283 | NPI | - | NPPES |
| 1427004365 | Other | IA | NPPES |
| IB1321001 | Other | IA | CMS |
| P00687137 | Other | IA | PALMETTO GBA UTAN |
| IB1321 | Other | IA | CMS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 06716 (Iowa) | Primary |
| Provider Name | Rhonda Joy Maassen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427004365 PECOS PAC ID: 7113991100 Enrollment ID: I20040825000190 |