Provider Demographics
NPI:1619181799
Name:ANGELA R GABEL, D.C., P.L.C.
Entity Type:Organization
Organization Name:ANGELA R GABEL, D.C., P.L.C.
Other - Org Name:GABEL CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTIC TECHNICIAN
Authorized Official - Prefix:MISS
Authorized Official - First Name:DESIREE
Authorized Official - Middle Name:
Authorized Official - Last Name:BIRCHALL
Authorized Official - Suffix:
Authorized Official - Credentials:CT
Authorized Official - Phone:563-243-5674
Mailing Address - Street 1:217 6TH AVE S
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52732-4305
Mailing Address - Country:US
Mailing Address - Phone:563-243-5674
Mailing Address - Fax:563-243-2499
Practice Address - Street 1:217 6TH AVE S
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:IA
Practice Address - Zip Code:52732-4305
Practice Address - Country:US
Practice Address - Phone:563-243-5674
Practice Address - Fax:563-243-2499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06616111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty