Ethan John Kleckner in Grimes - Chiropractor
Ethan John Kleckner - NPI 1710072848
Ethan John Kleckner is a Chiropractor in Grimes, Iowa. Ethan John Kleckner practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Ethan John Kleckner is 1710072848. The last update date is 2010-10-13.
Ethan John Kleckner's current location address is 250 W 1st St, Grimes, Iowa. You can contact this provider via phone number 5159862233 and fax number 5159860041. The mailing address for Ethan John Kleckner is 250 W 1st St, Grimes, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ethan John Kleckner |
|---|---|
| Address | 250 W 1st St, Grimes, Iowa |
| Phone Number | 5159862233 |
| Fax Number | 5159860041 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1710072848 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2010-10-13 |
Provider Mailing Address Detail
| Address | 250 W 1st St |
|---|---|
| City | Grimes |
| State | Iowa (IA) |
| Post Code | 501112138 |
| Phone Number | 5159862233 |
| Fax Number | 5159860041 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 6264 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9304 | IA | BLUE CROSS NUMBER | |
| 205567 | IA | -- |
Post Comment/ Review Below
What is the Ethan John Kleckner's 1710072848?
The Ethan John Kleckner's NPI (National Provider Identifier) Number is 1710072848. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Ethan John Kleckner?
The Ethan John Kleckner is physically situated at 250 W 1St St, in the city of Grimes, state of IA, with the postal code 501112138.
What is Ethan John Kleckner's area of expertise and its corresponding taxonomy classification?
The Ethan John Kleckner's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Ethan John Kleckner receive its 1710072848 assignment from the Centers for Medicare & Medicaid Services?
The Ethan John Kleckner was assigned its 1710072848 on 2006-10-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Ethan John Kleckner last refreshed?
The information related to the Ethan John Kleckner, including its address, specialty, and other relevant details, was last updated on 2010-10-13.
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