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Organization
RICKETTS CLINIC OF CHIROPRACTIC, INC.
Active
Organization
RICKETTS CLINIC OF CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT KARL RICKETTS D.C. (PRESIDENT)
(563) 588-0500
Entity
Organization
Contact information
Practice address
1400 UNIVERSITY AVE, SUITE B, DUBUQUE, IA 52001-5917
(563) 588-0500
Mailing address
1400 UNIVERSITY AVE, SUITE B, DUBUQUE, IA 52001-5917
(563) 588-0500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06525
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0261552
—
IA
01
—
I6518
MEDICARE GROUP NUMBER
—
Enumeration date
08/01/2007
Last updated
08/01/2007
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