Provider Demographics
NPI:1487625901
Name:WOODS, DENISE C (DC)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:C
Last Name:WOODS
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 1:40 ARENA WAY
Mailing Address - Street 2:SUITE 1
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51501-7057
Mailing Address - Country:US
Mailing Address - Phone:712-329-1863
Mailing Address - Fax:712-323-1089
Practice Address - Street 1:40 ARENA WAY
Practice Address - Street 2:SUITE 1
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51501-7057
Practice Address - Country:US
Practice Address - Phone:712-329-1863
Practice Address - Fax:712-323-1089
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06689111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0455238Medicaid
IA0455238Medicaid
IAV00900Medicare UPIN