Organization
KOENEN CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY A KOENEN DC (OWNER/CHIROPRACTOR)
(641) 787-1710
Entity
Organization
Contact information
Practice address
200 N 2ND AVE W, NEWTON, IA 50208-3032
(641) 787-1710
(641) 787-1708
Mailing address
713 E 17TH ST N, NEWTON, IA 50208-2432
(641) 787-1710
(641) 787-1708
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A06083
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0189126
—
IA
01
—
49085
WELLMARK BC/BS OF IA
IA
Enumeration date
10/25/2006
Last updated
08/22/2020
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