Organization
VAN DEN BERGHE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROXANNE BETH VAN DEN BERGHE D.C. (CHIROPRACTOR)
(563) 886-3636
Entity
Organization
Contact information
Practice address
114 W 5TH ST, TIPTON, IA 52772-1728
(563) 886-3636
(563) 886-3555
Mailing address
114 W 5TH ST, TIPTON, IA 52772-1728
(563) 886-3636
(563) 886-3555
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06950
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0747881
—
IA
Enumeration date
02/14/2007
Last updated
11/06/2007
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