Provider Demographics
NPI:1962482760
Name:TIGGES, MERLE DEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:MERLE
Middle Name:DEAN
Last Name:TIGGES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 237
Mailing Address - Street 2:TIGGES CHIROPRACTIC CLINIC
Mailing Address - City:BANCROFT
Mailing Address - State:IA
Mailing Address - Zip Code:50517-0237
Mailing Address - Country:US
Mailing Address - Phone:515-885-2582
Mailing Address - Fax:515-885-2587
Practice Address - Street 1:115 E RAMSEY ST
Practice Address - Street 2:
Practice Address - City:BANCROFT
Practice Address - State:IA
Practice Address - Zip Code:50517-8129
Practice Address - Country:US
Practice Address - Phone:515-885-2582
Practice Address - Fax:515-885-2587
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-18
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAAO6024111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0166462Medicaid
0466OtherPREFERRED ONE INS
15801OtherMID LANDS CHOICE
15801OtherMID LANDS CHOICE
U68530Medicare UPIN