Organization
EBERT CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA LYNN SUCKOW (OFFICE MANAGER)
(319) 232-9436
Entity
Organization
Contact information
Practice address
1445 ANSBOROUGH AVE, WATERLOO, IA 50701-3430
(319) 232-9436
(319) 232-2342
Mailing address
1445 ANSBOROUGH AVE, WATERLOO, IA 50701-3430
(319) 232-9436
(319) 232-2342
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0419382
—
IA
Enumeration date
09/22/2005
Last updated
08/22/2020
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