Provider Demographics
NPI:1073770574
Name:CHIROPRACTIC CONNECTIONS PC
Entity Type:Organization
Organization Name:CHIROPRACTIC CONNECTIONS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:POMMREHN-JASS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:641-435-2102
Mailing Address - Street 1:322 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:IA
Mailing Address - Zip Code:50658-9482
Mailing Address - Country:US
Mailing Address - Phone:641-435-2102
Mailing Address - Fax:
Practice Address - Street 1:322 MAIN ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:IA
Practice Address - Zip Code:50658-9482
Practice Address - Country:US
Practice Address - Phone:641-435-2102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007012261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty