Provider Demographics
NPI:1558617183
Name:VELDHUIZEN, DUSTIN DEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:DUSTIN
Middle Name:DEAN
Last Name:VELDHUIZEN
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:PO BOX 309
Mailing Address - Street 2:217 WALNUT STREET
Mailing Address - City:EDDYVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52553-7767
Mailing Address - Country:US
Mailing Address - Phone:641-225-8065
Mailing Address - Fax:
Practice Address - Street 1:217 WALNUT STREET
Practice Address - Street 2:
Practice Address - City:EDDYVILLE
Practice Address - State:IA
Practice Address - Zip Code:52553-7767
Practice Address - Country:US
Practice Address - Phone:641-225-8065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-01
Last Update Date:2017-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007560111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor