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Organization
HOMETOWN CHIROPRACTIC LLC
Active
Organization
HOMETOWN CHIROPRACTIC LLC
Active
Other names
Hometown Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON DANIEL EBELSHEISER D.C. (PRINCIPAL)
(641) 676-1400
Entity
Organization
Contact information
Practice address
120 N 1ST ST, OSKALOOSA, IA 52577-2812
(641) 676-1400
(641) 676-1401
Mailing address
120 N 1ST ST, OSKALOOSA, IA 52577-2812
(641) 676-1400
(641) 676-1401
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06743
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0452748
—
IA
05
—
0479006
—
IA
01
—
246032
MIDLANDS CHOICE ID
IA
01
—
38214
BLUE CROSS BLUE SHIEL ID
IA
Enumeration date
04/07/2006
Last updated
10/24/2007
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