Provider Demographics
NPI:1598526402
Name:GLIDDEN FAMILY CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:GLIDDEN FAMILY CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:KENDAL
Authorized Official - Middle Name:
Authorized Official - Last Name:GLIDDEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:308-882-6355
Mailing Address - Street 1:416 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARCUS
Mailing Address - State:IA
Mailing Address - Zip Code:51035-7719
Mailing Address - Country:US
Mailing Address - Phone:308-882-6355
Mailing Address - Fax:
Practice Address - Street 1:416 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MARCUS
Practice Address - State:IA
Practice Address - Zip Code:51035-7719
Practice Address - Country:US
Practice Address - Phone:308-882-6355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty