Provider Demographics
NPI:1417006693
Name:WINSLOW CHIROPRACTIC PC
Entity Type:Organization
Organization Name:WINSLOW CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:'BRIAN'
Authorized Official - Last Name:WINSLOW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:515-371-5115
Mailing Address - Street 1:710 72ND PL
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-2415
Mailing Address - Country:US
Mailing Address - Phone:515-371-5115
Mailing Address - Fax:
Practice Address - Street 1:475 S 50TH ST
Practice Address - Street 2:SUITE 700
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-6981
Practice Address - Country:US
Practice Address - Phone:515-371-5115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty