Provider Demographics
NPI:1639316920
Name:ESSER WELLNESS L.L.C.
Entity Type:Organization
Organization Name:ESSER WELLNESS L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:MICHAEAL
Authorized Official - Last Name:ESSER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:319-354-7599
Mailing Address - Street 1:1100 6TH ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-1755
Mailing Address - Country:US
Mailing Address - Phone:319-354-7599
Mailing Address - Fax:319-354-3475
Practice Address - Street 1:1100 6TH ST
Practice Address - Street 2:SUITE 204
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-1755
Practice Address - Country:US
Practice Address - Phone:319-354-7599
Practice Address - Fax:319-354-3475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-08
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007131111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty