The Bac Clinic Of Chiropractic

LBN: Dr Bradley A Chicoine Pc
The Bac Clinic Of Chiropractic is an health care organization with primary practice located at 1501 Nebraska St , Sioux City IA 51105-1240. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Dr Bradley A Chicoine Pc can be contacted via phone (712) 252-0633, or through Chicoine, Bradley A. via phone (712) 252-0633.

Contact Information

Primary practice address
1501 Nebraska St Sioux City IA 51105-1240
Fax: (712) 252-3904
Website:
Authorized official contact:
Name: Chicoine, Bradley A. Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 04520 Iowa
Chiropractic Providers / Chiropractor 111N00000X A05627 Iowa

Profile Details

NPI number 1831271048
LBN Legal business name Dr Bradley A Chicoine Pc
DBA Doing business as The Bac Clinic Of Chiropractic
Authorized official Chicoine, Bradley A. Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2006
Last updated Aug 11th, 2015 - about 9 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 1831271048 NPPES
Iowa Other 29618 WELLMARK BCBS
Iowa MEDICAID 0157800 WELLMARK BCBS
Iowa MEDICAID 5152033 WELLMARK BCBS
Iowa Other 29712 WELLMARK BCBS

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