Organization
ELITE HEALTH SYSTEMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY CHRISTOPHER JOHANNSEN DC (DOCTOR)
(563) 359-4203
Entity
Organization
Contact information
Practice address
2550 MIDDLE RD STE 400, BETTENDORF, IA 52722
(563) 359-4203
(563) 345-4099
Mailing address
2550 MIDDLE RD STE 400, BETTENDORF, IA 52722-3288
(563) 359-4203
(563) 345-4099
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
007354
IA
111N00000X
Chiropractor
Primary
06460
IA
225100000X
Physical Therapist
07531
IA
Other
Enumeration date
10/17/2016
Last updated
08/13/2018
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