Provider Demographics
NPI:1922585371
Name:ALGONA CHIROPRACTIC CLINIC
Entity Type:Organization
Organization Name:ALGONA CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-295-9414
Mailing Address - Street 1:112 S DODGE ST STE 1
Mailing Address - Street 2:
Mailing Address - City:ALGONA
Mailing Address - State:IA
Mailing Address - Zip Code:50511-2668
Mailing Address - Country:US
Mailing Address - Phone:515-295-9414
Mailing Address - Fax:515-295-3407
Practice Address - Street 1:112 S DODGE ST STE 1
Practice Address - Street 2:
Practice Address - City:ALGONA
Practice Address - State:IA
Practice Address - Zip Code:50511-2668
Practice Address - Country:US
Practice Address - Phone:515-295-9414
Practice Address - Fax:515-295-3407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-27
Last Update Date:2018-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty