Individual
DR. JACQUELINE THOMSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C., D.I.C.C.P.
Contact information
Practice address
410 ELY ST, WOODBINE, IA 51579-1242
(712) 647-3444
Mailing address
410 ELY ST, WOODBINE, IA 51579-1204
(712) 647-3444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A06122
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350053222
RAIL ROAD MEDICARE
IA
01
—
46876
WELLMARK BC/BS
IA
Enumeration date
10/16/2006
Last updated
11/21/2011
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