Provider Demographics
NPI:1659702108
Name:BIERMAN FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:BIERMAN FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:BIERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:563-379-1508
Mailing Address - Street 1:5270 N PARK PL NE STE 120
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-6222
Mailing Address - Country:US
Mailing Address - Phone:563-379-1508
Mailing Address - Fax:
Practice Address - Street 1:5270 N PARK PL NE STE 120
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-6222
Practice Address - Country:US
Practice Address - Phone:319-826-2924
Practice Address - Fax:319-826-2641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-10
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007630111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty