Provider Demographics
NPI:1134470305
Name:KURT VER HELST DC PC
Entity Type:Organization
Organization Name:KURT VER HELST DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:VAN MAREL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-233-1866
Mailing Address - Street 1:1618 S DUFF AVE
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-8026
Mailing Address - Country:US
Mailing Address - Phone:515-233-1866
Mailing Address - Fax:515-233-9513
Practice Address - Street 1:1618 S DUFF AVE
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-8026
Practice Address - Country:US
Practice Address - Phone:515-233-1866
Practice Address - Fax:515-233-9513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty