Prairielands Chiropractic Clinic P.C.

LBN: Prairielands Chiropractic Clinic P.C.
Prairielands Chiropractic Clinic P.C. is an health care organization with primary practice located at 300 W Broadway Suite 712, Council Bluffs IA 51503-9078. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Prairielands Chiropractic Clinic P.C. can be contacted via phone (712) 256-2561, or through Langille, Tonweya Willow via phone (712) 256-2561.

Contact Information

Primary practice address
300 W Broadway Suite 712 Council Bluffs IA 51503-9078
Fax: (712) 256-1927
Website:
Authorized official contact:
Name: Langille, Tonweya Willow Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 007034 Iowa

Profile Details

NPI number 1477837615
LBN Legal business name Prairielands Chiropractic Clinic P.C.
DBA Doing business as
Authorized official Langille, Tonweya Willow Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2011
Last updated Oct 13th, 2011 - about 14 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 1477837615 NPPES
Iowa MEDICAID 0400821
Iowa MEDICAID 10025584600

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