Provider Demographics
NPI:1033451240
Name:SIMPLY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:SIMPLY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNDORFER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:515-224-0050
Mailing Address - Street 1:12871 UNIVERSITY AVE.
Mailing Address - Street 2:SUITE #110
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-8256
Mailing Address - Country:US
Mailing Address - Phone:515-224-0050
Mailing Address - Fax:
Practice Address - Street 1:12871 UNIVERSITY AVE.
Practice Address - Street 2:SUITE #110
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-8256
Practice Address - Country:US
Practice Address - Phone:515-224-0050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-26
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06614111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty