Provider Demographics
NPI:1154511723
Name:CARAS CHIROPRACTIC AND PERFORMANCE CARE
Entity Type:Organization
Organization Name:CARAS CHIROPRACTIC AND PERFORMANCE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ABIJAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-242-1170
Mailing Address - Street 1:5123 MIDDLE RD STE D
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-6059
Mailing Address - Country:US
Mailing Address - Phone:563-332-6036
Mailing Address - Fax:
Practice Address - Street 1:5123 MIDDLE RD STE D
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-6059
Practice Address - Country:US
Practice Address - Phone:563-332-6036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06745111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI14132Medicare PIN