Champion Family Chiropractic
Organization Active NPI Chiropractor · Clive, IA
NPI 1194074971 · NPPES record last updated Sep 7, 2012
Key facts
- NPI
- 1194074971
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 7545 (IA)
- Legal business name
- CHAMPION FAMILY CHIROPRACTIC
- Practice address
- 11050 Hickman Rd Ste a
Clive, IA 50325-3740 - Phone
- (563) 343-7062
- NPI assigned
- Sep 7, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Justin C Luneburg, D.C.
- Title
- Chiropractor
- Phone
- (563) 343-7062
Practitioners 1
-
Justin C Luneburg, D.C.
National Provider Directory
Locations
11050 Hickman Rd
Ste A
Clive, IA 50325
Phone (563) 343-7062
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 7545 | IA | Yes |
Addresses
Primary practice location
11050 Hickman Rd Ste a
Clive, IA 50325-3740
Mailing address
11050 Hickman Rd Ste a
Clive, IA 50325-3740
Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2012. 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.