Organization
CHAMPION CHIROPRACTIC LIFE CENTER INC
Active
Other names
Champion Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PERRY JAMES NUMEDAHL DC (OWNER)
(563) 382-1085
Entity
Organization
Contact information
Practice address
300 E WATER ST, DECORAH, IA 52101-1922
(563) 382-1085
(563) 382-2124
Mailing address
300 E WATER ST, DECORAH, IA 52101-1922
(563) 382-1085
(563) 382-1086
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A06232
IA
Other
Enumeration date
01/25/2007
Last updated
02/27/2019
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