Provider Demographics
NPI:1033180401
Name:FLOYD, ALICE PATRICIA (DC)
Entity Type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:PATRICIA
Last Name:FLOYD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 W 6TH ST
Mailing Address - Street 2:
Mailing Address - City:VINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52349-1228
Mailing Address - Country:US
Mailing Address - Phone:319-472-3626
Mailing Address - Fax:
Practice Address - Street 1:114 W 6TH ST
Practice Address - Street 2:
Practice Address - City:VINTON
Practice Address - State:IA
Practice Address - Zip Code:52349-1228
Practice Address - Country:US
Practice Address - Phone:319-472-3626
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02855111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0016741Medicaid
01674Medicare ID - Type Unspecified