Jonathan Stephen Estrin, D.C.
Individual provider Active NPI Chiropractor · Fairfield, IA
NPI 1154494375 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154494375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 05077 (IA)
- Practice address
- 201 W Kirkwood Ave
Fairfield, IA 52556-2436 - Phone
- (641) 472-0233
- Fax
- (641) 209-5721
- NPI assigned
- Nov 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05077 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jon Estrin D.C., P.C. | Chiropractor | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 05077 | IA | Yes |
Addresses
Primary practice location
201 W Kirkwood Ave
Fairfield, IA 52556-2436
Mailing address
201 W Kirkwood Ave
Fairfield, IA 52556-2436
Phone (641) 472-0233
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24417 | Other | IA | WELLMARK ID# |
Other providers in Fairfield, 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.