Organization
MILLENNIUM CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY P MCCOY (OWNER)
(712) 246-5954
Entity
Organization
Contact information
Practice address
813 CHURCH ST, SHENANDOAH, IA 51601-2301
(712) 246-5954
(712) 246-3269
Mailing address
813 CHURCH ST, SHENANDOAH, IA 51601-2301
(712) 246-5954
(712) 246-3269
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0196113
—
IA
Enumeration date
08/25/2006
Last updated
07/03/2013
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