Eberline Family Chiropractic PLLC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

06488 Issued in IA

Legal business name

EBERLINE FAMILY CHIROPRACTIC PLLC

Practice address

412 G Ave
Grundy Center, IA 50638-1747

Phone

(319) 824-3650

Fax

(319) 824-6780

NPI assigned

Jun 5, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Paul D. Eberline, DCABN

Title

Owner

Phone

(319) 824-3650

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1114153053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52",
            "city": "GRUNDY CENTER",
            "state": "IA",
            "postal_code": "506380052",
            "telephone_number": "319-824-3650",
            "fax_number": "319-824-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 G AVE",
            "city": "GRUNDY CENTER",
            "state": "IA",
            "postal_code": "506381747",
            "telephone_number": "319-824-3650",
            "fax_number": "319-824-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBERLINE FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "EBERLINE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-824-3650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DCABN"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "IA",
            "license": "06488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016655",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nutrition Chiropractor in Grundy Center, IA
• Providers in Grundy Center, IA by specialty
• Nutrition Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.