Individual
DR. JONATHAN STEPHEN ESTRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
201 W KIRKWOOD AVE, FAIRFIELD, IA 52556-2436
(641) 472-0233
(641) 209-5721
Mailing address
201 W KIRKWOOD AVE, FAIRFIELD, IA 52556-2436
(641) 472-0233
(641) 209-5721
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
05077
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24417
WELLMARK ID#
IA
Enumeration date
11/16/2006
Last updated
07/08/2007
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