Provider Demographics
NPI:1093745044
Name:MCCURDY FAMILY CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:MCCURDY FAMILY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCCURDY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:515-961-9800
Mailing Address - Street 1:200 N HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:INDIANOLA
Mailing Address - State:IA
Mailing Address - Zip Code:50125-2512
Mailing Address - Country:US
Mailing Address - Phone:515-961-9800
Mailing Address - Fax:
Practice Address - Street 1:200 N HOWARD ST
Practice Address - Street 2:
Practice Address - City:INDIANOLA
Practice Address - State:IA
Practice Address - Zip Code:50125-2512
Practice Address - Country:US
Practice Address - Phone:515-961-9800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0468645Medicaid
IAI14263Medicare ID - Type Unspecified