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Organization
JORGENSEN CHIROPRACTIC PC
Active
Organization
JORGENSEN CHIROPRACTIC PC
Active
Other names
Family Chiropractic & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GORDON JORGENSEN DC (PRESIDENT)
(515) 233-9087
Entity
Organization
Contact information
Practice address
2629 UNIVERSITY BLVD, AMES, IA 50010-8624
(515) 233-9087
(515) 233-6409
Mailing address
2629 UNIVERSITY BLVD, AMES, IA 50010-8624
(515) 233-9087
(515) 233-6409
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06757
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0451641
—
IA
05
—
0451658
—
IA
01
—
37766
WELLMARK BCBS
IA
01
—
I14240
IOWA MEDICARE INDIVIDUAL
IA
Enumeration date
04/11/2008
Last updated
12/12/2023
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