Organization
ZOLLMAN CHIROPRACTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT A ZOLLMAN (DOCTOR & OWNER)
(712) 546-8151
Entity
Organization
Contact information
Practice address
200 5TH AVE NW, LE MARS, IA 51031-3116
(712) 546-8151
(712) 546-7653
Mailing address
200 5TH AVE NW, LE MARS, IA 51031-3116
(712) 546-8151
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05416
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159376
—
IA
01
—
07411
BCBS PIN
IA
01
—
1336134659
INDIVIDUAL NPI FOR DOCTOR
IA
01
—
CLIA
16D0929683
IA
Enumeration date
05/01/2007
Last updated
08/10/2010
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