Organization
HARTZELL FAMILY CHIROPRACTIC, P.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL ANN HARTZELL D.C. (PRESIDENT)
(319) 226-4404
Entity
Organization
Contact information
Practice address
509 ANSBOROUGH AVE, STE A, WATERLOO, IA 50701-2139
(319) 226-4404
(319) 226-4406
Mailing address
509 ANSBOROUGH AVE, STE A, WATERLOO, IA 50701-2139
(319) 226-4404
(319) 226-4406
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06877
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0486209
—
IA
01
—
I17438
MEDICARE ID-PIN
IA
Enumeration date
12/04/2007
Last updated
04/23/2008
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