Provider Demographics
NPI:1376867853
Name:CHIROPRACTIC HEALTH AND WELLNESS CLINIC, LLC
Entity Type:Organization
Organization Name:CHIROPRACTIC HEALTH AND WELLNESS CLINIC, LLC
Other - Org Name:GIDDINGS FAMILY CHIROPRACTIC, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:JON
Authorized Official - Last Name:GIDDINGS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:515-270-6737
Mailing Address - Street 1:5765 MERLE HAY RD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-2810
Mailing Address - Country:US
Mailing Address - Phone:515-270-6737
Mailing Address - Fax:515-727-2223
Practice Address - Street 1:5765 MERLE HAY RD
Practice Address - Street 2:SUITE 10
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-2810
Practice Address - Country:US
Practice Address - Phone:515-270-6737
Practice Address - Fax:515-727-2223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-26
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007142111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty