Organization · Type 2 NPI
Broadway Chiropractic Clinic PC
Chiropractor · Council Bluffs, IA
NPI number
1275755092
Active
Practice location
103 N Avenue, Suite 4
Council Bluffs, IA 51503
Fax (402) 614-5823
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 04972 (IA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1275755092
Broadway Chiropractic Clinic PC's National Provider Identifier is 1275755092, issued on May 2, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Council Bluffs, IA. The record was last updated on Oct 2, 2013.