Degrazia, Jordan Michael
Degrazia, Jordan Michael is an individual health care provider with primary practice located at 610 Eastbury Dr. Suite 3, Iowa City IA 52245. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Degrazia, Jordan Michael can be contacted via phone (319) 887-6992.Contact Information
Primary practice address
610 Eastbury Dr. Suite 3
Iowa City IA 52245
Phone: (319) 887-6992
Fax: (319) 887-6983
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 06528 | Iowa |
Profile Details
| NPI number | 1487633632 |
|---|---|
| LBN Legal business name | Degrazia, Jordan Michael |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487633632 | NPPES |
| Iowa | MEDICAID | 0265678 | |
| Iowa | Other | 50709 |
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