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Contact Information

ADVANCED CHIROPRACTIC
1851 MADISON AVE STE 550
COUNCIL BLUFFS, IA51503-3606
 Phone: 712-256-5440
 Fax: 712-256-5441
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for ADVANCED CHIROPRACTIC

NPI Number 1316113061
LBN Legal business name ADVANCED CHIROPRACTIC
Authorized official DANIEL KJELDGAARD - (DOCTOR OF CHIROPRACTIC)
Entity Organization
Organization subpart 1 No
Enumeration date 05/02/2008
Last updated 05/02/2008 - About 18 years ago
Identifiers
IA License # 06482
IA Medicaid 1261545
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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