Provider Demographics
NPI:1285061499
Name:HOWELL CHIROPRACTIC CENTER LLC
Entity type:Organization
Organization Name:HOWELL CHIROPRACTIC CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:563-424-1816
Mailing Address - Street 1:2440 TECH DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-7004
Mailing Address - Country:US
Mailing Address - Phone:563-424-1816
Mailing Address - Fax:563-424-1817
Practice Address - Street 1:2440 TECH DR
Practice Address - Street 2:SUITE 3
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-7004
Practice Address - Country:US
Practice Address - Phone:563-424-1816
Practice Address - Fax:563-424-1817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007251111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty