Organization
IDA FAMILY CHIROPRACTIC INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY BLEIL D.C. (CHIROPRACTOR)
(712) 364-2508
Entity
Organization
Contact information
Practice address
616 2ND ST, IDA GROVE, IA 51445-1012
(712) 364-2508
(712) 364-2198
Mailing address
616 2ND ST, IDA GROVE, IA 51445-1012
(712) 364-2508
(712) 364-2198
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
007610
IA
111N00000X
Chiropractor
Primary
A05698
IA
Other
Enumeration date
01/29/2014
Last updated
09/17/2014
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