Organization
DIRKS CHIROPRACTIC CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY ALBERT DIRKS MS DC (PRES SEC TREAS)
(712) 328-1625
Entity
Organization
Contact information
Practice address
1601 MCPHERSON AVE, COUNCIL BLUFFS, IA 51503
(712) 328-1625
(712) 388-0389
Mailing address
1601 MCPHERSON AVE, COUNCIL BLUFFS, IA 51503
(712) 328-1625
(712) 388-0389
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04944
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0208868
—
IA
01
—
20886
BCBS
IA
01
—
22690
MIDLANDS CHOICE PIN
—
01
—
35005194
MEDICARE UHC
—
01
—
3602
UPREHS
—
Enumeration date
04/18/2006
Last updated
08/22/2020
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