Chiropractic Solutions PC
Organization Active NPI Chiropractor · Hiawatha, IA
NPI 1124010376 · NPPES record last updated Oct 26, 2007
Key facts
- NPI
- 1124010376
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- A05868 (IA)
- Legal business name
- CHIROPRACTIC SOLUTIONS PC
- Practice address
- 1350 Boyson Rd
BLDG C
Hiawatha, IA 52233-2211 - Phone
- (319) 393-0086
- Fax
- (319) 294-0700
- NPI assigned
- Aug 15, 2005
- Organization subpart
- No
Authorized official
- Name
- Dr. Daniel William Kellen, DC
- Title
- Owner
- Phone
- (319) 393-0086
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040929000820 | IA | Part B Supplier - Clinic/Group Practice | 6507835204 |
Receives reassigned benefits from 1 practitioner Practice locations: Hiawatha, IA |
National Provider Directory
Locations
1350 Boyson Rd
Ste C
Hiawatha, IA 52233
Phone (319) 393-0086
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | A05926 | IA | |
| Chiropractor |
111N00000X | A05868 | IA | Yes |
Addresses
Primary practice location
1350 Boyson Rd
BLDG C
Hiawatha, IA 52233-2211
Mailing address
1350 Boyson Rd
BLDG C
Hiawatha, IA 52233-2211
Phone (319) 393-0086
Other providers in Hiawatha, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.