Organization
OELWEIN CHIROPRACTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID PRATT D.C. (OWNER)
(319) 279-3877
Entity
Organization
Contact information
Practice address
307 MAIN ST, READLYN, IA 50668-7736
(319) 279-3877
Mailing address
PO BOX 98, READLYN, IA 50668-0098
(319) 279-3877
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK2933
RAILROAD MEDICARE
IA
Enumeration date
07/06/2007
Last updated
11/20/2017
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