Ebert Chiropractic Clinic

LBN: Ebert Chiropractic Clinic
Ebert Chiropractic Clinic is an health care organization with primary practice located at 1445 Ansborough Ave , Waterloo IA 50701-3430. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Ebert Chiropractic Clinic can be contacted via phone (319) 232-9436, or through Suckow, Debra Lynn via phone (319) 232-9436.

Contact Information

Primary practice address
1445 Ansborough Ave Waterloo IA 50701-3430
Fax: (319) 232-2342
Website:
Authorized official contact:
Name: Suckow, Debra Lynn

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1922094267
LBN Legal business name Ebert Chiropractic Clinic
DBA Doing business as
Authorized official Suckow, Debra Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2005
Last updated Aug 22nd, 2020 - about 4 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 1922094267 NPPES
Iowa MEDICAID 0419382

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