Dietrich Chiropractic Pc

LBN: Dietrich Chiropractic Pc
Dietrich Chiropractic Pc is an health care organization with primary practice located at 1605 W Kimberly Rd , Davenport IA 52806-5532. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Dietrich Chiropractic Pc can be contacted via phone (563) 386-4798, or through Dietrich, L Anthony via phone (563) 386-4798.

Contact Information

Primary practice address
1605 W Kimberly Rd Davenport IA 52806-5532
Phone: (563) 386-4798
Fax: (563) 386-0903
Website:
Map and Directions
Authorized official contact:
Name: Dietrich, L Anthony Doctor of Chiropractic (DC)
Phone: (563) 386-4798

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1568508000
LBN Legal business name Dietrich Chiropractic Pc
DBA Doing business as
Authorized official Dietrich, L Anthony Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Dec 4th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568508000 NPPES
Iowa MEDICAID 0488312

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