Organization
NILLES CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GERALD NILLES DC (PRESIDENT)
(712) 546-4004
Entity
Organization
Contact information
Practice address
220 PLYMOUTH ST SW, LE MARS, IA 51031-3441
(712) 546-4004
(712) 546-4007
Mailing address
220 PLYMOUTH ST SW, LE MARS, IA 51031-3441
(712) 546-4004
(712) 546-4007
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05986
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0433912
—
IA
Enumeration date
09/13/2006
Last updated
08/22/2020
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