Provider Demographics
NPI:1922851732
Name:WAUKON FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:WAUKON FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:319-429-6809
Mailing Address - Street 1:504 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WAUKON
Mailing Address - State:IA
Mailing Address - Zip Code:52172-1850
Mailing Address - Country:US
Mailing Address - Phone:563-217-2960
Mailing Address - Fax:563-794-5038
Practice Address - Street 1:504 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WAUKON
Practice Address - State:IA
Practice Address - Zip Code:52172-1850
Practice Address - Country:US
Practice Address - Phone:563-217-2960
Practice Address - Fax:563-794-5038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-10
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty