Organization
COUNCIL BLUFFS CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER C DAHLGAARD DC (OWNER)
(712) 322-3544
Entity
Organization
Contact information
Practice address
126 E BROADWAY, SUITE 2, COUNCIL BLUFFS, IA 51503-4409
(712) 322-3544
(712) 322-3545
Mailing address
126 E BROADWAY, SUITE 2, COUNCIL BLUFFS, IA 51503-4409
(712) 322-3544
(712) 322-3545
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04263
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0198234
—
IA
Enumeration date
02/01/2008
Last updated
02/01/2008
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