Provider Demographics
NPI:1164750048
Name:ENHANCED HEALTH CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:ENHANCED HEALTH CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:D
Authorized Official - Last Name:LLOYD
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:515-987-0767
Mailing Address - Street 1:9350 UNIVERSITY AVE
Mailing Address - Street 2:SUITE #114
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-1646
Mailing Address - Country:US
Mailing Address - Phone:515-987-0767
Mailing Address - Fax:888-504-5490
Practice Address - Street 1:9350 UNIVERSITY AVE
Practice Address - Street 2:SUITE #114
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-1646
Practice Address - Country:US
Practice Address - Phone:515-987-0767
Practice Address - Fax:888-504-5490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-03
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007212111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty