Provider Demographics
NPI:1417038720
Name:NAHNSEN, DORIS ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:DORIS
Middle Name:ANN
Last Name:NAHNSEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 BIRCH ST
Mailing Address - Street 2:PO BOX 268
Mailing Address - City:SCHLESWIG
Mailing Address - State:IA
Mailing Address - Zip Code:51461
Mailing Address - Country:US
Mailing Address - Phone:712-676-3307
Mailing Address - Fax:712-676-3307
Practice Address - Street 1:204 BIRCH ST
Practice Address - Street 2:
Practice Address - City:SCHLESWIG
Practice Address - State:IA
Practice Address - Zip Code:51461
Practice Address - Country:US
Practice Address - Phone:712-676-3307
Practice Address - Fax:712-676-3307
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05291111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
25527OtherWELLMARK
IA0255273Medicaid
25527OtherWELLMARK