Thiele Chiropractic & Wellness, Llc | |
5010 Mills Civic Pkwy Ste. 102 West Des Moines IA 50265-5267 | |
(515) 777-9771 | |
Not Available |
Full Name | Thiele Chiropractic & Wellness, Llc |
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Speciality | Clinic/Center |
Location | 5010 Mills Civic Pkwy, West Des Moines, Iowa |
Authorized Official Name and Position | Cory Michael Thiele (CHIROPRACTOR) |
Authorized Official Contact | 3606017610 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Thiele Chiropractic & Wellness, Llc 5010 Mills Civic Pkwy Ste. 102 West Des Moines IA 50265-5267 Ph: (515) 777-9771 | Thiele Chiropractic & Wellness, Llc 5010 Mills Civic Pkwy Ste. 102 West Des Moines IA 50265-5267 Ph: (515) 777-9771 |
NPI Number | 1255755880 |
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Provider Enumeration Date | 02/18/2014 |
Last Update Date | 02/18/2014 |
Medicare PECOS PAC ID | 9739310871 |
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Medicare Enrollment ID | O20140402001800 |
Identifier | Type | State | Issuer |
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1255755880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 072217 (Iowa) | Primary |
Provider Name | Cory Michael Thiele |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1811062441 PECOS PAC ID: 7416001953 Enrollment ID: I20140402001854 |
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