Carolus, Jackie Lee

Carolus, Jackie Lee is an individual health care provider with primary practice located at 403 1St Ave , Perry IA 50220-1902. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic. Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic is her primary health care specialty. Carolus, Jackie Lee can be contacted via phone (515) 465-3585.

Contact Information

Primary practice address
403 1St Ave Perry IA 50220-1902
Phone: (515) 465-3585
Fax: (515) 465-4651
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 5355 Minnesota
Chiropractic Providers / Chiropractor 111N00000X 007416 Iowa
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X

Profile Details

NPI number 1144527557
LBN Legal business name Carolus, Jackie Lee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2011
Last updated May 29th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144527557 NPPES
Iowa Other IB2212002 PTAN

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