Organization
SIMONSEN CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINA SIMONSEN D.C. (OWNER/CHIROPRACTOR)
(712) 229-1863
Entity
Organization
Contact information
Practice address
200 5TH AVE NW, LE MARS, IA 51031-3116
(712) 546-8152
(712) 546-7653
Mailing address
200 5TH AVE NW, LE MARS, IA 51031-3116
(712) 546-8152
(712) 546-7653
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
082634
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118285
—
IA
Enumeration date
06/10/2016
Last updated
11/30/2016
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