Provider Demographics
NPI:1689766263
Name:ROHLFSEN, CHAD JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:JAMES
Last Name:ROHLFSEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8460 BIRCHWOOD CT
Mailing Address - Street 2:STE 600
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-2877
Mailing Address - Country:US
Mailing Address - Phone:515-727-4000
Mailing Address - Fax:515-727-4027
Practice Address - Street 1:8460 BIRCHWOOD CT
Practice Address - Street 2:STE 600
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-2877
Practice Address - Country:US
Practice Address - Phone:515-727-4000
Practice Address - Fax:515-727-4027
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA06135111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA47496OtherWELLMARK
IA47496Medicare ID - Type UnspecifiedPROVIDER NUMBER