Individual
DR. JEFFREY A PENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC CCSP CSCS
Contact information
Practice address
3115 AGENCY ST, BURLINGTON, IA 52601-1908
(319) 752-1460
(319) 752-1461
Mailing address
3115 AGENCY ST, BURLINGTON, IA 52601-1908
(319) 752-1460
(319) 752-1461
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AO5225
IA
111NS0005X
Sports Physician Chiropractor
AO5225
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0270736
—
IA
01
—
27073
WELLMARK BC/BS
IA
01
—
350036056
RAILROAD MEDICARE
IA
Enumeration date
08/21/2006
Last updated
10/12/2017
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