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Organization
SOPPE CHIROPRACTIC CLINIC, INC
Active
Organization
SOPPE CHIROPRACTIC CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J SOPPE D.C. (CHIROPRACTOR)
(712) 792-6026
Entity
Organization
Contact information
Practice address
1420 N US HIGHWAY 71, CARROLL, IA 51401-3344
(712) 792-6026
(712) 792-6027
Mailing address
1420 N US HIGHWAY 71, CARROLL, IA 51401-3344
(712) 792-6026
(712) 792-6027
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05629
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1148031
—
IA
01
—
57582
BLUE CROSS PROVIDER#
IA
Enumeration date
07/25/2006
Last updated
08/22/2020
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