Provider Demographics
NPI:1578243465
Name:SETCHELL CHIROPRACTIC PC
Entity Type:Organization
Organization Name:SETCHELL CHIROPRACTIC PC
Other - Org Name:SETCHELL CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SETCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:815-866-5029
Mailing Address - Street 1:902 BLUFF LN
Mailing Address - Street 2:
Mailing Address - City:LE CLAIRE
Mailing Address - State:IA
Mailing Address - Zip Code:52753-9395
Mailing Address - Country:US
Mailing Address - Phone:815-866-5029
Mailing Address - Fax:
Practice Address - Street 1:1405 EAGLE RIDGE RD STE 2
Practice Address - Street 2:
Practice Address - City:LE CLAIRE
Practice Address - State:IA
Practice Address - Zip Code:52753-9382
Practice Address - Country:US
Practice Address - Phone:563-729-1400
Practice Address - Fax:563-729-1401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty