Organization
VAN HEMERT CHIROPRACTIC CENTER, P.C.
Active
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
Update your record
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