Provider Demographics
NPI:1619220084
Name:MARCIA A ALFF DC PC
Entity Type:Organization
Organization Name:MARCIA A ALFF DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D.C.
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ALFF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:712-343-6394
Mailing Address - Street 1:170 S ELM ST
Mailing Address - Street 2:POBOX 327
Mailing Address - City:AVOCA
Mailing Address - State:IA
Mailing Address - Zip Code:51521-4003
Mailing Address - Country:US
Mailing Address - Phone:712-343-6394
Mailing Address - Fax:712-343-5404
Practice Address - Street 1:170 S ELM ST
Practice Address - Street 2:
Practice Address - City:AVOCA
Practice Address - State:IA
Practice Address - Zip Code:51521-4003
Practice Address - Country:US
Practice Address - Phone:712-343-6394
Practice Address - Fax:712-343-5404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-22
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA5197261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center