Individual
DR. JILL ANN HARTZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
509 ANSBOROUGH AVE., SUITE A, WATERLOO, IA 50701
(319) 226-4404
(319) 226-4406
Mailing address
509 ANSBOROUGH AVE., SUITE A, WATERLOO, IA 50701
(319) 226-4404
(319) 226-4406
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06877
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0486209
—
IA
01
—
I17438
MEDICARE ID-PIN
IA
Enumeration date
05/16/2006
Last updated
04/11/2008
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