Pure Wellness Chiropractic & Acupuncture | |
1250 Nw 128th St 120 Clive IA 50325-7432 | |
(515) 225-2220 | |
(515) 225-2229 |
Full Name | Pure Wellness Chiropractic & Acupuncture |
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Speciality | Clinic/Center |
Location | 1250 Nw 128th St, Clive, Iowa |
Authorized Official Name and Position | Justin Allen (DOCTOR OF CHIROPRACTIC) |
Authorized Official Contact | 5152252220 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pure Wellness Chiropractic & Acupuncture 1250 Nw 128th St 120 Clive IA 50325-7432 Ph: (515) 225-2220 | Pure Wellness Chiropractic & Acupuncture 1250 Nw 128th St 120 Clive IA 50325-7432 Ph: (515) 225-2220 |
NPI Number | 1053743393 |
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Provider Enumeration Date | 08/08/2013 |
Last Update Date | 08/08/2013 |
Medicare PECOS PAC ID | 8921233032 |
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Medicare Enrollment ID | O20131025001692 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053743393 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 007360 (Iowa) | Primary |
Provider Name | Justin L Allen |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1164727061 PECOS PAC ID: 4385825140 Enrollment ID: I20110226000111 |
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