Organization
RICKETTS CLINIC OF CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT KARL RICKETTS D.C. (PRESIDENT)
(563) 588-0500
Entity
Organization
Contact information
Practice address
1400 UNIVERSITY AVE, SUITE B, DUBUQUE, IA 52001-5917
(563) 588-0500
Mailing address
1400 UNIVERSITY AVE, SUITE B, DUBUQUE, IA 52001-5917
(563) 588-0500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06525
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0261552
—
IA
01
—
I6518
MEDICARE GROUP NUMBER
—
Enumeration date
08/01/2007
Last updated
08/01/2007
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