Nashua Family Chiropractic PC
Organization Active NPI Chiropractor · Clarksville, IA
NPI 1912378035 · NPPES record last updated Oct 15, 2015
Key facts
- NPI
- 1912378035
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 007717 (IA)
- Legal business name
- NASHUA FAMILY CHIROPRACTIC PC
- Practice address
- 109 S Main St
Clarksville, IA 50619-2022 - Phone
- (319) 278-1100
- Fax
- (319) 278-1110
- NPI assigned
- Oct 15, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Alex James Anthofer, D.C.
- Title
- Chiropractic Physician
- Phone
- (319) 278-1100
Other NPIs on the same Medicare enrollment 1
Practitioners 1
-
Alex James Anthofer, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140730002602 | IA | Part B Supplier - Clinic/Group Practice | 4587880315 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Nashua, IA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 007717 | IA | Yes |
Addresses
Primary practice location
109 S Main St
Clarksville, IA 50619-2022
Mailing address
PO Box 106
Clarksville, IA 50619-0106
Other names
- Clarksville Chiropractic
Other providers in Clarksville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2015. 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.