Organization
ADVANCED CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL C KJELDGAARD D.C. (DOCTOR OF CHIROPRACTIC)
(712) 256-5540
Entity
Organization
Contact information
Practice address
1851 MADISON AVE STE 550, COUNCIL BLUFFS, IA 51503-3606
(712) 256-5440
(712) 256-5441
Mailing address
1851 MADISON AVE SU, SUITE 550, COUNCIL BLUFFS, IA 51503-0500
(712) 256-5440
(712) 256-5441
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
06482
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1261545
—
IA
Enumeration date
05/02/2008
Last updated
05/02/2008
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