Individual
DR. DIANE MARIE HAPPEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3 N 17TH ST, FORT DODGE, IA 50501
(515) 573-2441
(515) 573-7228
Mailing address
3 N 17TH ST, FORT DODGE, IA 50501-4223
(515) 573-2441
(515) 573-7228
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06379
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3237603
—
IA
01
—
34800
BCBS
IA
01
—
P00110955
RR MEDICARE
IA
Enumeration date
02/23/2007
Last updated
12/13/2007
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