Organization
CORNELIUS CHIROPRACTIC CENTRE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY EDWARD CORNELIUS D.C. (PRESIDENT)
(319) 895-6392
Entity
Organization
Contact information
Practice address
216 2ND ST SW, MOUNT VERNON, IA 52314-1630
(319) 895-6392
(319) 895-6167
Mailing address
321 HILLVIEW DR SE, MOUNT VERNON, IA 52314-9717
(319) 895-6392
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023143
—
IA
Enumeration date
01/11/2010
Last updated
01/11/2010
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