Provider Demographics
NPI:1134889009
Name:ABEL CHIROPRACTIC, PC
Entity type:Organization
Organization Name:ABEL CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KARLY
Authorized Official - Middle Name:
Authorized Official - Last Name:KANTAREVIC
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:319-389-5885
Mailing Address - Street 1:4330 CZECH LN NE STE A4
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-2334
Mailing Address - Country:US
Mailing Address - Phone:319-389-5885
Mailing Address - Fax:
Practice Address - Street 1:4330 CZECH LN NE STE A4
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-2334
Practice Address - Country:US
Practice Address - Phone:319-389-5885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-20
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty