Provider Demographics
NPI:1558734699
Name:JUERGENS CHIROPRACTIC & ACUPUNCTURE PLLC
Entity Type:Organization
Organization Name:JUERGENS CHIROPRACTIC & ACUPUNCTURE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:JUERGENS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:712-792-3716
Mailing Address - Street 1:410 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:CARROLL
Mailing Address - State:IA
Mailing Address - Zip Code:51401-2230
Mailing Address - Country:US
Mailing Address - Phone:712-792-3716
Mailing Address - Fax:712-792-3716
Practice Address - Street 1:410 W 3RD ST
Practice Address - Street 2:
Practice Address - City:CARROLL
Practice Address - State:IA
Practice Address - Zip Code:51401-2230
Practice Address - Country:US
Practice Address - Phone:712-792-3716
Practice Address - Fax:712-792-3716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-11
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA079947111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty