Provider Demographics
NPI:1215216502
Name:SCHIPPER FAMILY CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:SCHIPPER FAMILY CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:ANTONY
Authorized Official - Last Name:SCHIPPER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:563-876-3777
Mailing Address - Street 1:210 BIERMAN RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:EPWORTH
Mailing Address - State:IA
Mailing Address - Zip Code:52045-9530
Mailing Address - Country:US
Mailing Address - Phone:563-876-3777
Mailing Address - Fax:
Practice Address - Street 1:210 BIERMAN RD
Practice Address - Street 2:SUITE F
Practice Address - City:EPWORTH
Practice Address - State:IA
Practice Address - Zip Code:52045-9530
Practice Address - Country:US
Practice Address - Phone:563-876-3777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06941111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty