Street Chiropractic PC

Organization Active NPI Chiropractor · Osage, IA

NPI 1013091297 · NPPES record last updated Jun 6, 2025

Key facts

NPI
1013091297
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
Legal business name
STREET CHIROPRACTIC PC
Practice address
139 W Main St
Osage, IA 50461-1012
Phone
(641) 732-4665
Fax
(641) 732-3770
NPI assigned
Oct 25, 2006
Organization subpart
No

Authorized official

Name
Aaron Thomas Street, D.C.
Title
President
Phone
(641) 732-4665

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040429000983 IA Part B Supplier - Clinic/Group Practice 0941297048 Receives reassigned benefits from 3 practitioners
Practice locations: Osage, IA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X Yes

Addresses

Primary practice location

139 W Main St
Osage, IA 50461-1012

Mailing address

139 W Main St
Osage, IA 50461-1012
Phone (641) 732-4665

Other identifiers

IdentifierTypeStateIssuer
DB5762OtherIARAILROAD MEDICARE
0497073MedicaidIA

Other providers in Osage, IA

All providers in Osage, IA · Chiropractor in Iowa

Sources for this page

Verify at the official NPI Registry.