Individual
JAY JERALD BLEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
616 2ND ST, IDA GROVE, IA 51445-1012
(712) 364-2508
(712) 364-2198
Mailing address
616 2ND ST, IDA GROVE, IA 51445-1012
(712) 364-2508
(712) 364-2198
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IA 05698
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104497
—
IA
Enumeration date
01/03/2007
Last updated
08/27/2025
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