Provider Demographics
NPI:1003231507
Name:DUGAN CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:DUGAN CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:563-263-0201
Mailing Address - Street 1:2109 CEDARWOOD DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MUSCATINE
Mailing Address - State:IA
Mailing Address - Zip Code:52761-2670
Mailing Address - Country:US
Mailing Address - Phone:563-263-0201
Mailing Address - Fax:563-263-0560
Practice Address - Street 1:2109 CEDARWOOD DR
Practice Address - Street 2:SUITE 200
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-2670
Practice Address - Country:US
Practice Address - Phone:563-263-0201
Practice Address - Fax:563-263-0560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-20
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007332111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty