Provider Demographics
NPI:1114092152
Name:BEANE, JOEL ALAN (DC)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:ALAN
Last Name:BEANE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 IOWA AVENUE WEST
Mailing Address - Street 2:
Mailing Address - City:MARSHALLTOWN
Mailing Address - State:IA
Mailing Address - Zip Code:50158-8878
Mailing Address - Country:US
Mailing Address - Phone:641-752-3113
Mailing Address - Fax:641-752-3115
Practice Address - Street 1:901 IOWA AVENUE WEST
Practice Address - Street 2:
Practice Address - City:MARSHALLTOWN
Practice Address - State:IA
Practice Address - Zip Code:50158-8878
Practice Address - Country:US
Practice Address - Phone:641-752-3113
Practice Address - Fax:641-752-3115
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA04376111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0024570Medicaid
IA02457Medicare ID - Type Unspecified
02457Medicare UPIN