Eickert Chiropractic Clinic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06821 Issued in IA

Legal business name

EICKERT CHIROPRACTIC CLINIC PLLC

Practice address

317 Highway 150 North
West Union, IA 52175-1450

Phone

(563) 422-3323

NPI assigned

Mar 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Frederick W Eickert, DCNPI 1760482301

Title

Ceo

Phone

(563) 422-3323

Specialties & licenses 1

Addresses

Other names 1

• west union chiropractic clinic Doing business as

Locations

Practitioners 1

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

• Frederick Walter Eickert, D.C.

  • Chiropractor
  • Clinton, IA
  • NPI 1760482301
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1043343098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 HIGHWAY 150 NORTH",
            "city": "WEST UNION",
            "state": "IA",
            "postal_code": "52175",
            "telephone_number": "563-422-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 HIGHWAY 150 NORTH",
            "city": "WEST UNION",
            "state": "IA",
            "postal_code": "521751450",
            "telephone_number": "563-422-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EICKERT CHIROPRACTIC CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "EICKERT",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "563-422-3323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "west union chiropractic clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn Ann Daughton, M.T.P.
• Reed J Davis, CRNA
• Ciera Deitchler
• Andrea Kaye Dietzenbach, P.A.
• Marin Ehler, DPT
• Cameron John Elmer, DDS
• Fayette County Case Management
• Gabrielle Icele Flynt, DNP, CNP, ACNPC-AG
• Keisha Formanek, COTA/L
• Karen Louise Foster, RDLD

• All providers in West Union, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.