Individual
DR. JEFFREY ALAN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4205 GLASS RD NE, CEDAR RAPIDS, IA 52402-2514
(319) 294-0094
(319) 294-0095
Mailing address
4205 GLASS RD NE, CEDAR RAPIDS, IA 52402-2514
(319) 294-0094
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6916
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386785293
WELLMARK BCBS
IA
05
—
1386785293
—
IA
01
—
P00901771
RR MEDICARE
IA
Enumeration date
06/26/2006
Last updated
02/28/2017
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