Joel Alan Beane, DC
Individual provider Active NPI Chiropractor · Marshalltown, IA
NPI 1114092152 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114092152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 04376 (IA)
- Practice address
- 901 Iowa Avenue West
Marshalltown, IA 50158-8878 - Phone
- (641) 752-3113
- Fax
- (641) 752-3115
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 04376 | IA | Yes |
Addresses
Primary practice location
901 Iowa Avenue West
Marshalltown, IA 50158-8878
Mailing address
901 Iowa Avenue West
Marshalltown, IA 50158-8878
Phone (641) 752-3113
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0024570 | Medicaid | IA |
Other providers in Marshalltown, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.