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Organization

VAN HEMERT CHIROPRACTIC CENTER, P.C.

Active
Other names
Russell R Van Hemert
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RUSSELL R VAN HEMERT D.C. (OWNER)
(641) 628-2099
Entity
Organization

Contact information

Practice address
1310 WASHINGTON ST, PELLA, IA 50219-1512
(641) 628-2099
(641) 628-2324
Mailing address
1310 WASHINGTON ST, PO BOX 26, PELLA, IA 50219-1512
(641) 628-2099
(641) 628-2324

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
04934
IA
363L00000X
Nurse Practitioner
A076744
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0231951
IA
01
1497758676
NPI INDIVIDUAL NUMBER
IA
01
23195
BCBS PROVIDER #
IA
Enumeration date
02/26/2007
Last updated
04/16/2008
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