Provider Demographics
NPI:1457512097
Name:CAVIN, ROSANNE R (DC)
Entity Type:Individual
Prefix:DR
First Name:ROSANNE
Middle Name:R
Last Name:CAVIN
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 1:121 E STUART ST
Mailing Address - Street 2:
Mailing Address - City:CLARINDA
Mailing Address - State:IA
Mailing Address - Zip Code:51632-2113
Mailing Address - Country:US
Mailing Address - Phone:712-542-4040
Mailing Address - Fax:712-542-4020
Practice Address - Street 1:121 E STUART ST
Practice Address - Street 2:
Practice Address - City:CLARINDA
Practice Address - State:IA
Practice Address - Zip Code:51632-2113
Practice Address - Country:US
Practice Address - Phone:712-542-4040
Practice Address - Fax:712-542-4020
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007089111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor