Provider Demographics
NPI:1861497547
Name:GABEL, ANGELA R (DC)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:R
Last Name:GABEL
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 1:218 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52732-4032
Mailing Address - Country:US
Mailing Address - Phone:563-243-5674
Mailing Address - Fax:563-243-2499
Practice Address - Street 1:218 N 2ND ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:IA
Practice Address - Zip Code:52732-4032
Practice Address - Country:US
Practice Address - Phone:563-243-5674
Practice Address - Fax:563-243-2499
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-17
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06616111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA34860OtherBCBS
IA0296012Medicaid
IA658049OtherACN GROUP
IAI18593Medicare ID - Type Unspecified
IA34860OtherBCBS