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Organization

SOPPE CHIROPRACTIC CLINIC, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL J SOPPE D.C. (CHIROPRACTOR)
(712) 792-6026
Entity
Organization

Contact information

Practice address
1420 N US HIGHWAY 71, CARROLL, IA 51401-3344
(712) 792-6026
(712) 792-6027
Mailing address
1420 N US HIGHWAY 71, CARROLL, IA 51401-3344
(712) 792-6026
(712) 792-6027

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05629
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1148031
IA
01
57582
BLUE CROSS PROVIDER#
IA
Enumeration date
07/25/2006
Last updated
08/22/2020
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