Provider Demographics
NPI:1205183159
Name:VELDHUIZEN CHIROPRACTIC & WELLNESS, INC.
Entity Type:Organization
Organization Name:VELDHUIZEN CHIROPRACTIC & WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:VELDHUIZEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:641-660-6266
Mailing Address - Street 1:PO BOX 309
Mailing Address - Street 2:
Mailing Address - City:EDDYVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52553-0309
Mailing Address - Country:US
Mailing Address - Phone:641-225-8065
Mailing Address - Fax:641-316-7337
Practice Address - Street 1:217 WALNUT ST
Practice Address - Street 2:
Practice Address - City:EDDYVILLE
Practice Address - State:IA
Practice Address - Zip Code:52553-7767
Practice Address - Country:US
Practice Address - Phone:641-225-8065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-09
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007560261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service