Organization
JOSLYN CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL C JOSLYN D.C. (DOCTOR/OWNER)
(563) 547-3782
Entity
Organization
Contact information
Practice address
221 2ND ST W, CRESCO, IA 52136-1503
(563) 547-3782
(563) 547-4627
Mailing address
221 2ND ST W, CRESCO, IA 52136-1503
(563) 547-3782
(563) 547-4627
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A5438
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02825270
MEDICAID
IA
Enumeration date
02/11/2010
Last updated
04/23/2010
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