Ronald C Neuerburg, DC
Individual provider Active NPI Chiropractor · Eldora, IA
NPI 1124043955 · NPPES record last updated Dec 4, 2007
Key facts
- NPI
- 1124043955
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 04781 (IA)
- Practice address
- 1376 Washington St
Eldora, IA 50627-1631 - Phone
- (641) 939-3831
- Fax
- (641) 939-3922
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04781 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eldora Family Chiropractic & Wellness Center PC | Chiropractor | Past |
Accepting new patients |
| Ronald C Neuerburg DC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 04781 | IA | Yes |
Addresses
Primary practice location
1376 Washington St
Eldora, IA 50627-1631
Mailing address
1376 Washington St
Eldora, IA 50627-1631
Phone (641) 939-3831
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18517 | Other | IA | BLUE CROSS/BLUE SHIELD |
| 0185173 | Medicaid | IA | |
| 46880 | Other | BC/BS GRP # | |
| I6486 | Other | MEDICARE GRP # | |
| 0267732 | Other | MEDICAID GRP # |
Other providers in Eldora, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 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.