Provider Demographics
NPI:1922230382
Name:ALL FAMILY CHIROPRACTIC, P.C
Entity Type:Organization
Organization Name:ALL FAMILY CHIROPRACTIC, P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:BOWEN
Authorized Official - Last Name:HATCHER
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:319-512-2993
Mailing Address - Street 1:811 S 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-5209
Mailing Address - Country:US
Mailing Address - Phone:319-512-2993
Mailing Address - Fax:319-512-2993
Practice Address - Street 1:811 S 1ST AVE
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-5209
Practice Address - Country:US
Practice Address - Phone:319-512-2993
Practice Address - Fax:319-512-2993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-19
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1497942692Medicaid