Organization
FUELLING CHIROPRACTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATT PATRICK FUELLING (OWNER/PRESIDENT)
(319) 334-3214
Entity
Organization
Contact information
Practice address
231 2ND AVE NE, INDEPENDENCE, IA 50644-1904
(319) 334-3214
(319) 334-2613
Mailing address
231 2ND AVE NE, INDEPENDENCE, IA 50644-1904
(319) 334-3214
(319) 334-2613
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06269
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1206482
—
IA
Enumeration date
11/16/2007
Last updated
11/16/2007
Update your record
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