Organization
1ST AVENUE CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E CROWLEY D.C. (CEO)
(515) 332-5414
Entity
Organization
Contact information
Practice address
611 1 ST AVE CHIROPRACTIC, HUMBOLDT, IA 50548
(515) 332-5414
(515) 332-5415
Mailing address
611 1 ST AVE CHIROPRACTIC, HUMBOLDT, IA 50548
(515) 332-5414
(515) 332-5415
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A5718
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0279810
—
IA
Enumeration date
05/03/2007
Last updated
08/22/2020
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