Individual provider · Type 1 NPI
Jackie Lee Carolus, DC
Electroneurodiagnostic Specialist/Technologist · Perry, IA
NPI number
1144527557
Active
Practice location
403 1st Ave
Perry, IA 50220-1902
Fax (515) 465-4651
Mailing address
PO Box 592442
San Antonio, TX 78259-0172
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 5355 (MN) |
| Chiropractor | 111N00000X | 007416 (IA) |
| Electroneurodiagnostic Specialist/Technologist Primary | 246ZE0600X | None listed |
Electroneurodiagnostic Specialist/Technologist: Definition to come...
3 other providers at this address
About NPI 1144527557
Jackie Lee Carolus, DC's National Provider Identifier is 1144527557, issued on Feb 21, 2011. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Perry, IA. The record was last updated on May 29, 2014.