Provider Demographics
NPI:1497972202
Name:SWAIN CHIROPRACTIC INC
Entity Type:Organization
Organization Name:SWAIN CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:L
Authorized Official - Last Name:SWAIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:515-967-9300
Mailing Address - Street 1:410 CENTER PL SW
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:IA
Mailing Address - Zip Code:50009-2555
Mailing Address - Country:US
Mailing Address - Phone:515-967-9300
Mailing Address - Fax:515-967-9042
Practice Address - Street 1:410 CENTER PL SW
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:IA
Practice Address - Zip Code:50009-2555
Practice Address - Country:US
Practice Address - Phone:515-967-9300
Practice Address - Fax:515-967-9042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05913111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI11550Medicare ID - Type Unspecified
IAU58119Medicare UPIN