Individual provider · Type 1 NPI
Jennifer Fanchon Vondrak, DC
Chiropractor · Wall Lake, IA
NPI number
1689643736
Active
Practice location
102 Boyer St., Suite B
Wall Lake, IA 51466
Fax (712) 664-2053
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | AO6224 (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.
About NPI 1689643736
Jennifer Fanchon Vondrak, DC's National Provider Identifier is 1689643736, issued on Mar 14, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Wall Lake, IA. The record was last updated on Jan 9, 2018.