Organization
NISSEN FAMILY CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYLE D NISSEN DC (OWNER)
(712) 943-1589
Entity
Organization
Contact information
Practice address
310 1ST ST, SERGEANT BLUFF, IA 51054-0006
(712) 943-1589
(712) 943-1591
Mailing address
PO BOX 6, SERGEANT BLUFF, IA 51054-0006
(712) 943-1589
(712) 943-1591
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AO5757
IA
Other
Enumeration date
12/07/2007
Last updated
12/13/2007
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