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Organization
NILES CHIROPRACTIC INC.
Active
Organization
NILES CHIROPRACTIC INC.
Active
Other names
Niles Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ANTHONY NILES D.C. (PRESIDENT)
(563) 886-6900
Entity
Organization
Contact information
Practice address
200 E 5TH ST, TIPTON, IA 52772-1851
(563) 886-6900
Mailing address
200 E 5TH ST, TIPTON, IA 52772-1851
(563) 886-6900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4975
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207357
—
IA
Enumeration date
09/11/2012
Last updated
09/11/2012
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