Provider Demographics
NPI:1912189176
Name:MARIA CONLEY D C P C
Entity Type:Organization
Organization Name:MARIA CONLEY D C P C
Other - Org Name:CONLEY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CONLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:319-337-7271
Mailing Address - Street 1:1486 S 1ST AVE STE B
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-6072
Mailing Address - Country:US
Mailing Address - Phone:319-337-7271
Mailing Address - Fax:319-887-2503
Practice Address - Street 1:1486 S 1ST AVE STE B
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-6072
Practice Address - Country:US
Practice Address - Phone:319-337-7271
Practice Address - Fax:319-887-2503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAAO5569111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
I5608Medicare PIN