# GERARD CHIROPRACTIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982089025
- **Authorized official:** SHAWN M GERARD D.C (DOCTOR OF CHIROPRACTIC)
- **Authorized official phone:** (563) 223-9120

## Contact information

- **Practice address:** 112 WEST DAVENPORT ST UNIT 1, ELDRIDGE, IA 52748
- **Practice address phone:** (563) 223-9120
- **Mailing address:** 112 WEST DAVENPORT ST UNIT 1, ELDRIDGE, IA 52748
- **Mailing address phone:** (563) 223-9120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 078973 | IA | Yes |
| 111NS0005X | Sports Physician Chiropractor | 078973 | IA | — |

## Other

- **Enumeration date:** 07/29/2015
- **Last updated:** 09/01/2015