Organization
VITA CHIROPRACTIC & WELLNESS,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIANNA ELIZABETH BAHNSEN DC (PRESIDENT)
(515) 978-1870
Entity
Organization
Contact information
Practice address
450 SE UNIVERSITY AVE, WAUKEE, IA 50263-8121
(575) 978-1870
Mailing address
14429 BRIARWOOD LN, URBANDALE, IA 50323-2032
(641) 330-2267
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669739504
PROVIDER NPI
—
Enumeration date
05/02/2023
Last updated
05/02/2023
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