Fitzpatrick Family Chiropractic LLC
Organization Active NPI Chiropractor · Solon, IA
NPI 1467633487 · NPPES record last updated Aug 13, 2014
Key facts
- NPI
- 1467633487
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 007016 (IA)
- Legal business name
- FITZPATRICK FAMILY CHIROPRACTIC LLC
- Practice address
- 101 Windflower LN Ste 800
Solon, IA 52333-4711 - Phone
- (319) 624-5145
- Fax
- (319) 624-5156
- NPI assigned
- Nov 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Brian James Fitzpatrick, D.C.
- Title
- President/Owner
- Phone
- (319) 624-5145
Practitioners 1
-
Brian James Fitzpatrick, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071215000184 | IA | Part B Supplier - Clinic/Group Practice | 8820188733 |
Receives reassigned benefits from 1 practitioner Practice locations: Solon, IA |
National Provider Directory
Locations
101 Windflower Ln
Solon, IA 52333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 007016 | IA | Yes |
Addresses
Primary practice location
101 Windflower LN Ste 800
Solon, IA 52333-4711
Mailing address
101 Windflower LN Ste 800
Solon, IA 52333-4711
Phone (319) 624-5145
Other providers in Solon, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2014. 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.