Organization
NILES CHIROPRACTIC INC.
Active
Other names
Niles Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ANTHONY NILES D.C. (PRESIDENT)
(563) 886-6900
Entity
Organization
Contact information
Practice address
200 E 5TH ST, TIPTON, IA 52772-1851
(563) 886-6900
Mailing address
200 E 5TH ST, TIPTON, IA 52772-1851
(563) 886-6900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4975
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207357
—
IA
Enumeration date
09/11/2012
Last updated
09/11/2012
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