Provider Demographics
NPI:1497901474
Name:SOENEN, JOHN K (DC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:K
Last Name:SOENEN
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 1:105 IOWA AVE STE 231
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-3906
Mailing Address - Country:US
Mailing Address - Phone:319-621-5048
Mailing Address - Fax:
Practice Address - Street 1:105 IOWA AVE STE 231
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-3906
Practice Address - Country:US
Practice Address - Phone:319-621-5048
Practice Address - Fax:319-621-5048
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-11
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007114111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor