Organization
SOUTHEAST IOWA CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN D OVERTURF D.C. (OWNER)
(641) 682-4476
Entity
Organization
Contact information
Practice address
104 ELMDALE AVE, OTTUMWA, IA 52501-1234
(641) 682-4476
(641) 682-4476
Mailing address
104 ELMDALE AVE, OTTUMWA, IA 52501-1234
(641) 682-4476
(641) 682-4476
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007267
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002556
—
IA
Enumeration date
02/15/2018
Last updated
02/15/2018
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