Provider Demographics
NPI:1578855359
Name:JOHN W PLEGGENKUHLE DC PC
Entity Type:Organization
Organization Name:JOHN W PLEGGENKUHLE DC PC
Other - Org Name:PLEGGENKUHLE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:PLEGGENKUHLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:563-422-8345
Mailing Address - Street 1:315 HIGHWAY 150 N
Mailing Address - Street 2:
Mailing Address - City:WEST UNION
Mailing Address - State:IA
Mailing Address - Zip Code:52175-1048
Mailing Address - Country:US
Mailing Address - Phone:563-422-9999
Mailing Address - Fax:563-422-9990
Practice Address - Street 1:315 HIGHWAY 150 N
Practice Address - Street 2:
Practice Address - City:WEST UNION
Practice Address - State:IA
Practice Address - Zip Code:52175-1048
Practice Address - Country:US
Practice Address - Phone:563-422-9999
Practice Address - Fax:563-422-9990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-11
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007410111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty