Pence, Jeffrey A

Pence, Jeffrey A is an individual health care provider with primary practice located at 3115 Agency St , Burlington IA 52601-1908. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Sports Physician, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Pence, Jeffrey A can be contacted via phone (319) 752-1460.

Contact Information

Primary practice address
3115 Agency St Burlington IA 52601-1908
Phone: (319) 752-1460
Fax: (319) 752-1461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X AO5225 Iowa
Chiropractic Providers / Chiropractor 111N00000X AO5225 Iowa

Profile Details

NPI number 1174639686
LBN Legal business name Pence, Jeffrey A
Credentials DC CCSP CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Oct 12th, 2017 - about 7 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 1174639686 NPPES
Iowa Other 27073 WELLMARK BC/BS
Iowa Other 350036056 WELLMARK BC/BS
Iowa MEDICAID 0270736 WELLMARK BC/BS

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