Provider Demographics
NPI:1417286360
Name:DEHOOGH, AUSTIN DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:DAVID
Last Name:DEHOOGH
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 1:1239 73RD ST STE K
Mailing Address - Street 2:
Mailing Address - City:WINDSOR HEIGHTS
Mailing Address - State:IA
Mailing Address - Zip Code:50324-1343
Mailing Address - Country:US
Mailing Address - Phone:515-274-4444
Mailing Address - Fax:515-274-2473
Practice Address - Street 1:1239 73RD ST STE K
Practice Address - Street 2:
Practice Address - City:WINDSOR HEIGHTS
Practice Address - State:IA
Practice Address - Zip Code:50324-1339
Practice Address - Country:US
Practice Address - Phone:515-274-4444
Practice Address - Fax:515-274-2473
Is Sole Proprietor?:No
Enumeration Date:2009-12-23
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1738111N00000X
IA093290111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor