Provider Demographics
NPI:1417060997
Name:CAREW, JEROME L (DC)
Entity Type:Individual
Prefix:DR
First Name:JEROME
Middle Name:L
Last Name:CAREW
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2411 2ND ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-1500
Mailing Address - Country:US
Mailing Address - Phone:319-337-2335
Mailing Address - Fax:319-337-2353
Practice Address - Street 1:2411 2ND ST
Practice Address - Street 2:SUITE 1
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-1500
Practice Address - Country:US
Practice Address - Phone:319-337-2335
Practice Address - Fax:319-337-2353
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05429111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1285155Medicaid
IA28515OtherBCBS PROVIDER NUMBER
IAI8015Medicare PIN