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Organization
LEON CHIROPRACTIC LLC
Active
Organization
LEON CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY OSTERT (OFFICE MANAGER)
(563) 652-5687
Entity
Organization
Contact information
Practice address
606 E PLATT ST, MAQUOKETA, IA 52060-2415
(563) 652-5687
Mailing address
606 E PLATT ST, MAQUOKETA, IA 52060-2415
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
007213
IA
111N00000X
Chiropractor
Primary
04417
IA
111N00000X
Chiropractor
06673
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02375
WELLMARK BLUE CROSS BLUE SHIELD
IA
01
—
04516
WELLMARK BLUE CROSS BLUE SHIELD
IA
01
—
1234
WELLMARK BLUE CROSS BLUE SHIELD
IA
01
—
1255564217
NPI
IA
01
—
1801911011
NPI
IA
01
—
1932154044
NPI
IA
05
—
IA01151
—
IA
05
—
IA11063
—
IA
05
—
IA18426
—
IA
Enumeration date
02/09/2015
Last updated
02/09/2015
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