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Organization

ELBERT CHIROPRACTIC CLINIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD A ELBERT DC (OWNER/CHIROPRACTOR)
(515) 232-9075
Entity
Organization

Contact information

Practice address
622 BURNETT AVE, AMES, IA 50010-6126
(515) 232-9075
(515) 232-4995
Mailing address
622 BURNETT AVE, AMES, IA 50010-6126
(515) 232-9075
(515) 232-4995

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4631
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0155598
IA
01
15559
BCBS PROVIDER NUMBER
IA
Enumeration date
03/22/2006
Last updated
08/22/2020
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