Provider Demographics
NPI:1548234263
Name:MARCHIORI FAMILY CHIROPRACTIC INC
Entity Type:Organization
Organization Name:MARCHIORI FAMILY CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:PHILLIP
Authorized Official - Last Name:MARCHIORI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:319-294-2170
Mailing Address - Street 1:1950 DODGE RD NE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-2411
Mailing Address - Country:US
Mailing Address - Phone:319-294-2170
Mailing Address - Fax:319-294-2168
Practice Address - Street 1:1950 DODGE RD NE
Practice Address - Street 2:SUITE 104
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-2411
Practice Address - Country:US
Practice Address - Phone:319-294-2170
Practice Address - Fax:319-294-2168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06378111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA47228OtherWELLMARK BCBS
IA0439141Medicaid
IA0439141Medicaid
IA47228OtherWELLMARK BCBS