Provider Demographics
NPI:1255048146
Name:CUMMINGS, DILAN J (DC)
Entity type:Individual
Prefix:
First Name:DILAN
Middle Name:J
Last Name:CUMMINGS
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 1:203 E TOWER PARK DR STE B
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50701-9321
Mailing Address - Country:US
Mailing Address - Phone:319-232-5202
Mailing Address - Fax:
Practice Address - Street 1:203 E TOWER PARK DR STE B
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50701-9321
Practice Address - Country:US
Practice Address - Phone:319-232-5202
Practice Address - Fax:319-393-3947
Is Sole Proprietor?:No
Enumeration Date:2022-11-01
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA116754111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor