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Organization

AVITT ENTERPRISES, INC.

Active
Other names
Avitt Family Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAURA A. AVITT D.C., CACCP, FIAMA (CHIROPRACTOR/OWNER)
(515) 961-3310
Entity
Organization

Contact information

Practice address
215 N HOWARD ST, SUITE B, INDIANOLA, IA 50125-2511
(515) 961-3310
(515) 961-3310
Mailing address
215 N HOWARD ST, SUITE B, INDIANOLA, IA 50125-2511
(515) 961-3310
(515) 961-3310

Taxonomy

Speciality
Code
Description
License number
State
111NP0017X
Pediatric Chiropractor
Primary
06698
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
44027
BLUE CROSS/BLUE SHIELD
IA
Enumeration date
01/27/2012
Last updated
12/17/2014
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