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Contact Information

KEOKUK CHIROPRACTIC & SPORTS INJURY CENTER, INC.
924 MAIN ST
KEOKUK, IA52632-4655
 Phone: 319-524-0905
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for KEOKUK CHIROPRACTIC & SPORTS INJURY CENTER, INC.

NPI # 1104002013
LBN Legal business name KEOKUK CHIROPRACTIC & SPORTS INJURY CENTER, INC.
Authorized official DENNIS WOLTER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/10/2008
Last updated 01/10/2008 - About 18 years ago
Identifiers
IA Other 52935 BCBS
IA Other 615537 TRIGON
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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