Provider Demographics
NPI:1225180904
Name:CARE CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:CARE CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:REID
Authorized Official - Last Name:DUNKLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:319-377-7331
Mailing Address - Street 1:1260 35TH ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MARION
Mailing Address - State:IA
Mailing Address - Zip Code:52302-1712
Mailing Address - Country:US
Mailing Address - Phone:319-377-7331
Mailing Address - Fax:319-377-1407
Practice Address - Street 1:1260 35TH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:MARION
Practice Address - State:IA
Practice Address - Zip Code:52302-1712
Practice Address - Country:US
Practice Address - Phone:319-377-7331
Practice Address - Fax:319-377-1407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA06228111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI8816Medicare ID - Type UnspecifiedMEDICARE GROUP #