Provider Demographics
NPI:1689851990
Name:DAY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:DAY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:J
Authorized Official - Last Name:DAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:515-233-9464
Mailing Address - Street 1:1302 XB PL
Mailing Address - Street 2:STE 101
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50014-6326
Mailing Address - Country:US
Mailing Address - Phone:515-233-9464
Mailing Address - Fax:515-292-5551
Practice Address - Street 1:1302 XB PL
Practice Address - Street 2:STE 101
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50014-6326
Practice Address - Country:US
Practice Address - Phone:515-233-9464
Practice Address - Fax:515-292-5551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA04629111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1881673341OtherINDIVIDUAL NPI
IA0237727Medicaid
IA0237727Medicaid