Calease Chiropractic Center, LLC
Organization Active NPI Clinic/Center · Waverly, IA
NPI 1598080319 · NPPES record last updated Apr 5, 2010
Key facts
- NPI
- 1598080319
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 007295 (IA)
- Legal business name
- CALEASE CHIROPRACTIC CENTER, LLC
- Practice address
- 908 2ND Ave SW
Waverly, IA 50677-2910 - Phone
- (319) 352-5353
- Fax
- (319) 352-5353
- NPI assigned
- Apr 5, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Alicia Lynn Calease, D.C
- Title
- Chiropractor
- Phone
- (319) 352-5353
Practitioners 2
-
Alicia Lynn Calease, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100723000772 | IA | Part B Supplier - Clinic/Group Practice | 4082746185 |
Receives reassigned benefits from 1 practitioner Practice locations: Waverly, IA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 007295 | IA | Yes |
Addresses
Primary practice location
908 2ND Ave SW
Waverly, IA 50677-2910
Mailing address
908 2ND Ave SW
Waverly, IA 50677-2910
Phone (319) 352-5353
Other providers in Waverly, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2010. 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.