Organization
PRAIRIELANDS CHIROPRACTIC CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONWEYA WILLOW LANGILLE D.C. (DOCTOR)
(712) 256-2561
Entity
Organization
Contact information
Practice address
300 W BROADWAY, SUITE 712, COUNCIL BLUFFS, IA 51503-9078
(712) 256-2561
(712) 256-1927
Mailing address
300 W BROADWAY, SUITE 712, COUNCIL BLUFFS, IA 51503-9078
(712) 256-2561
(712) 256-1927
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007034
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0400821
—
IA
05
—
10025584600
—
NE
Enumeration date
10/06/2011
Last updated
10/13/2011
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