Provider Demographics
NPI:1568769891
Name:EVERY - BODIES CHIRO
Entity Type:Organization
Organization Name:EVERY - BODIES CHIRO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:NOEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:563-650-9690
Mailing Address - Street 1:1530 FARNAM ST
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52803-4416
Mailing Address - Country:US
Mailing Address - Phone:563-650-9690
Mailing Address - Fax:563-424-2224
Practice Address - Street 1:1530 FARNAM ST
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52803-4416
Practice Address - Country:US
Practice Address - Phone:563-650-9690
Practice Address - Fax:563-424-2224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-23
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007227111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty