Provider Demographics
NPI:1184283830
Name:SYNERGY CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:SYNERGY CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOOLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:712-332-8604
Mailing Address - Street 1:PO BOX 913
Mailing Address - Street 2:
Mailing Address - City:OKOBOJI
Mailing Address - State:IA
Mailing Address - Zip Code:51355-0913
Mailing Address - Country:US
Mailing Address - Phone:712-332-8604
Mailing Address - Fax:
Practice Address - Street 1:1017 HIGHWAY 71 S
Practice Address - Street 2:
Practice Address - City:OKOBOJI
Practice Address - State:IA
Practice Address - Zip Code:51355-2544
Practice Address - Country:US
Practice Address - Phone:712-332-8604
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-06
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty