Provider Demographics
NPI:1891834263
Name:SHIPLEY FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:SHIPLEY FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIPLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:319-443-3030
Mailing Address - Street 1:314 W WOOD ST
Mailing Address - Street 2:BOX 414
Mailing Address - City:URBANA
Mailing Address - State:IA
Mailing Address - Zip Code:52345
Mailing Address - Country:US
Mailing Address - Phone:319-443-3030
Mailing Address - Fax:319-443-3030
Practice Address - Street 1:314 W WOOD ST
Practice Address - Street 2:BOX 414
Practice Address - City:URBANA
Practice Address - State:IA
Practice Address - Zip Code:52345
Practice Address - Country:US
Practice Address - Phone:319-443-3030
Practice Address - Fax:319-443-3030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06909111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty