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Contact Information

1ST AVENUE CHIROPRACTIC, P.C.
611 1 ST AVE CHIROPRACTIC
HUMBOLDT, IA50548
 Phone: 515-332-5414
 Fax: 515-332-5415
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for 1ST AVENUE CHIROPRACTIC, P.C.

NPI # 1366654543
LBN Legal business name 1ST AVENUE CHIROPRACTIC, P.C.
Authorized official MICHAEL CROWLEY - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
IA License # A5718
IA Medicaid 0279810
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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