Provider Demographics
NPI:1235406273
Name:A FIRST STEP CHIROPRACTIC P.L.C.
Entity Type:Organization
Organization Name:A FIRST STEP CHIROPRACTIC P.L.C.
Other - Org Name:ELLENSOHN, CHIROPRACTIC P.L.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:ELLENSOHN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:641-342-2122
Mailing Address - Street 1:208 S. MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:OSCEOLA
Mailing Address - State:IA
Mailing Address - Zip Code:50213-1421
Mailing Address - Country:US
Mailing Address - Phone:641-342-2122
Mailing Address - Fax:641-242-2119
Practice Address - Street 1:208 S MAIN ST.
Practice Address - Street 2:
Practice Address - City:OSCEOLA
Practice Address - State:IA
Practice Address - Zip Code:50213-1421
Practice Address - Country:US
Practice Address - Phone:641-342-2122
Practice Address - Fax:641-242-2119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-18
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007424111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty