Organization
NOLZ CHIROPRACTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED C NOLZ DC (PRESIDENT)
(319) 455-2910
Entity
Organization
Contact information
Practice address
309 W HIGHWAY 30, LISBON, IA 52253-9402
(319) 455-2910
(319) 455-2165
Mailing address
309 W HIGHWAY 30, LISBON, IA 52253-9402
(319) 455-2910
(319) 455-2165
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05811
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1122507
—
IA
Enumeration date
06/05/2007
Last updated
08/22/2020
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