Provider Demographics
NPI:1679719900
Name:VAASSEN CHIROPRACTIC & ACUPUNCTURE PLC
Entity Type:Organization
Organization Name:VAASSEN CHIROPRACTIC & ACUPUNCTURE PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:T
Authorized Official - Last Name:VAASSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-513-9292
Mailing Address - Street 1:2420 WHITETAIL DR
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52002-2341
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2420 WHITETAIL DR
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52002-2341
Practice Address - Country:US
Practice Address - Phone:563-513-9292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-16
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty