Organization
FETCHO FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JAMES FETCHO D C (CHIROPRACTOR OWNER)
(641) 664-2423
Entity
Organization
Contact information
Practice address
108 E JEFFERSON ST, BLOOMFIELD, IA 52537-1606
(641) 664-2423
(641) 664-2064
Mailing address
108 E JEFFERSON ST, BLOOMFIELD, IA 52537-1606
(641) 664-2423
(641) 664-2064
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06654
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0417261
—
IA
01
—
35884
BLUE CROSS/ BLUE SHIELD
IA
Enumeration date
09/16/2006
Last updated
12/31/2013
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