Organization
FAMILY CHIROPRACTIC AND WELLNESS CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BECKY A HUSTEDT DC (OWNER)
(712) 446-3613
Entity
Organization
Contact information
Practice address
112 W 2ND ST, SUTHERLAND, IA 51058-0423
(712) 446-3613
(712) 446-2027
Mailing address
112 W 2ND ST, PO BOX 423, SUTHERLAND, IA 51058-0423
(712) 446-3613
(712) 446-2027
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06591
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1290445
—
IA
01
—
33750
BCBS
IA
Enumeration date
01/16/2007
Last updated
06/10/2008
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