Organization
CHLADEK O & P INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONAS CHLADEK BOCP, LP, LO (OWNER)
(515) 244-4040
Entity
Organization
Contact information
Practice address
3007 86TH STREET, URBANDALE, IA 50322-4001
(515) 244-4040
(515) 244-5455
Mailing address
3007 86TH ST, URBANDALE, IA 50322
(515) 244-4040
(515) 244-5455
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073991
STATE OF IOWA BOARD OF PODIATRY LICENSE FOR ORTHOTIST
IA
01
—
073993
STATE OF IOWA BOARD OF PODIATRY LICENSE FOR PROSTHETIST
IA
Enumeration date
08/14/2015
Last updated
08/14/2015
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