Organization
HOMETOWN CHIROPRACTIC LLC
Active
Other names
Hometown Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON DANIEL EBELSHEISER D.C. (PRINCIPAL)
(641) 676-1400
Entity
Organization
Contact information
Practice address
120 N 1ST ST, OSKALOOSA, IA 52577-2812
(641) 676-1400
(641) 676-1401
Mailing address
120 N 1ST ST, OSKALOOSA, IA 52577-2812
(641) 676-1400
(641) 676-1401
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06743
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0452748
—
IA
05
—
0479006
—
IA
01
—
246032
MIDLANDS CHOICE ID
IA
01
—
38214
BLUE CROSS BLUE SHIEL ID
IA
Enumeration date
04/07/2006
Last updated
10/24/2007
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