Provider Demographics
NPI:1659840007
Name:MCDANEL, RUTH (DC)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:
Last Name:MCDANEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 5TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-4859
Mailing Address - Country:US
Mailing Address - Phone:515-279-5559
Mailing Address - Fax:515-279-5559
Practice Address - Street 1:219 5TH ST
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-4859
Practice Address - Country:US
Practice Address - Phone:515-279-5559
Practice Address - Fax:515-279-5559
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-15
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA092769111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor