Organization
BURLINGTON CHIROPRACTIC CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FORREST JOHN HEISE DC (PRESIDENT)
(319) 754-5751
Entity
Organization
Contact information
Practice address
2930 DIVISION ST, BURLINGTON, IA 52601-1616
(319) 754-5751
(319) 758-6479
Mailing address
2930 DIVISION ST, BURLINGTON, IA 52601-1616
(319) 754-5751
(319) 758-6479
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04391
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0024927
—
IA
Enumeration date
03/10/2006
Last updated
08/22/2020
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