Bollin Chiropractic & Acupuncture Inc
Organization Active NPI Chiropractor · Le Mars, IA
NPI 1720118862 · NPPES record last updated Feb 2, 2011
Key facts
- NPI
- 1720118862
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 06700 (IA)
- Legal business name
- BOLLIN CHIROPRACTIC & ACUPUNCTURE INC
- Practice address
- 212 Plymouth St SW
Le Mars, IA 51031-3441 - Phone
- (712) 546-7789
- Fax
- (712) 546-6554
- NPI assigned
- Mar 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Jeremy Douglas Bollin, D.C.
- Title
- President
- Phone
- (712) 546-7789
Practitioners 1
-
Jeremy Douglas Bollin, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070402000651 | IA | Part B Supplier - Clinic/Group Practice | 6800990763 |
Receives reassigned benefits from 1 practitioner Practice locations: Le Mars, IA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 06700 | IA | Yes |
Addresses
Primary practice location
212 Plymouth St SW
Le Mars, IA 51031-3441
Mailing address
212 Plymouth St SW
Le Mars, IA 51031-3441
Phone (712) 546-7789
Other providers in Le Mars, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2011. 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.