Belle Plaine Chiropractic LLC
Organization Active NPI Chiropractor · Belle Plaine, IA
NPI 1346788643 · NPPES record last updated Feb 7, 2017
Key facts
- NPI
- 1346788643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 007156 (IA)
- Legal business name
- BELLE PLAINE CHIROPRACTIC LLC
- Practice address
- 732 12TH St
Belle Plaine, IA 52208-1753 - Phone
- (319) 444-2555
- Fax
- (319) 444-2555
- NPI assigned
- Feb 7, 2017
- Organization subpart
- No
Authorized official
- Name
- Tad L Jacobi, D.C.
- Title
- Sole Member
- Phone
- (319) 444-2555
Practitioners 1
-
Tad Louis Jacobi, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170206001334 | IA | Part B Supplier - Clinic/Group Practice | 4082997697 |
Receives reassigned benefits from 1 practitioner Practice locations: Belle Plaine, IA |
National Provider Directory
Locations
732 12th St
Belle Plaine, IA 52208
Phone (319) 444-0185
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 007156 | IA | Yes |
Addresses
Primary practice location
732 12TH St
Belle Plaine, IA 52208-1753
Mailing address
732 12TH St
Belle Plaine, IA 52208-1753
Phone (319) 444-2555
Other providers in Belle Plaine, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2017. 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.