Provider Demographics
NPI:1790143220
Name:EBEL, DREW (DC)
Entity Type:Individual
Prefix:DR
First Name:DREW
Middle Name:
Last Name:EBEL
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 1:1236 S MAIN AVE # 105
Mailing Address - Street 2:
Mailing Address - City:SIOUX CENTER
Mailing Address - State:IA
Mailing Address - Zip Code:51250-1230
Mailing Address - Country:US
Mailing Address - Phone:712-441-6339
Mailing Address - Fax:
Practice Address - Street 1:1236 S MAIN AVE
Practice Address - Street 2:
Practice Address - City:SIOUX CENTER
Practice Address - State:IA
Practice Address - Zip Code:51250-1230
Practice Address - Country:US
Practice Address - Phone:712-441-6339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-28
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6162111N00000X
IA110772111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor