Provider Demographics
NPI:1184227613
Name:BEYOND CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:BEYOND CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAYLEE
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:712-541-6663
Mailing Address - Street 1:19 LINCOLN ST SE
Mailing Address - Street 2:
Mailing Address - City:LE MARS
Mailing Address - State:IA
Mailing Address - Zip Code:51031-3645
Mailing Address - Country:US
Mailing Address - Phone:712-541-6663
Mailing Address - Fax:
Practice Address - Street 1:19 LINCOLN ST SE
Practice Address - Street 2:
Practice Address - City:LE MARS
Practice Address - State:IA
Practice Address - Zip Code:51031-3645
Practice Address - Country:US
Practice Address - Phone:712-541-6663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty