Provider Demographics
NPI:1154652816
Name:ALFIERI CHIROPRACTIC PC
Entity Type:Organization
Organization Name:ALFIERI CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:ALFIERI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:712-336-1600
Mailing Address - Street 1:2230 33RD ST
Mailing Address - Street 2:SUITE 8
Mailing Address - City:SPIRIT LAKE
Mailing Address - State:IA
Mailing Address - Zip Code:51360-7632
Mailing Address - Country:US
Mailing Address - Phone:712-336-1600
Mailing Address - Fax:712-336-1602
Practice Address - Street 1:2230 33RD ST
Practice Address - Street 2:SUITE 8
Practice Address - City:SPIRIT LAKE
Practice Address - State:IA
Practice Address - Zip Code:51360-7632
Practice Address - Country:US
Practice Address - Phone:712-336-1600
Practice Address - Fax:712-336-1602
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALFIERI CHIROPRACTIC PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-01-20
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007257111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty