Keokuk Chiropractic & Sports Injury Center, Inc. in Keokuk - Sports Physician
Keokuk Chiropractic & Sports Injury Center, Inc. - NPI 1104002013
Keokuk Chiropractic & Sports Injury Center, Inc. is a Sports Physician in Keokuk, Iowa. Keokuk Chiropractic & Sports Injury Center, Inc. practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Keokuk Chiropractic & Sports Injury Center, Inc. is 1104002013. The last update date is 2008-01-10.
Keokuk Chiropractic & Sports Injury Center, Inc.'s current location address is 924 Main St, Keokuk, Iowa. You can contact this provider via phone number 3195240905. The mailing address for Keokuk Chiropractic & Sports Injury Center, Inc. is 924 Main St, Keokuk, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Keokuk Chiropractic & Sports Injury Center, Inc. |
|---|---|
| Address | 924 Main St, Keokuk, Iowa |
| Phone Number | 3195240905 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wolter E. Dennis |
| Telephone Number | 3195240905 |
NPI Number Detail
| NPI Number | 1104002013 |
|---|---|
| Provider Enumeration Date | 2008-01-10 |
| Last Updated Date | 2008-01-10 |
Provider Mailing Address Detail
| Address | 924 Main St |
|---|---|
| City | Keokuk |
| State | Iowa (IA) |
| Post Code | 526324655 |
| Phone Number | 3195240905 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
|
Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 52935 | IA | BCBS | |
| 615537 | IA | TRIGON |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Keokuk Chiropractic & Sports Injury Center, Inc. by the Centers for Medicare & Medicaid Services?
The Keokuk Chiropractic & Sports Injury Center, Inc. has been issued the NPI (National Provider Identifier) 1104002013 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Keokuk Chiropractic & Sports Injury Center, Inc.?
The Keokuk Chiropractic & Sports Injury Center, Inc. is situated at 924 Main St, in the city of Keokuk, state of IA, with the zip code 526324655.
What is Keokuk Chiropractic & Sports Injury Center, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Keokuk Chiropractic & Sports Injury Center, Inc. is Sports Physician, and the taxonomy code that classifies this field of practice is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104002013 to Keokuk Chiropractic & Sports Injury Center, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1104002013 to Keokuk Chiropractic & Sports Injury Center, Inc. on 2008-01-10.
As of what date was the information regarding Keokuk Chiropractic & Sports Injury Center, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Keokuk Chiropractic & Sports Injury Center, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-10.
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