Provider Demographics
NPI:1295765105
Name:ENGLAND, JODY LYNN (DC)
Entity type:Individual
Prefix:DR
First Name:JODY
Middle Name:LYNN
Last Name:ENGLAND
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10437 HICKMAN RD.
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322
Mailing Address - Country:US
Mailing Address - Phone:515-278-4594
Mailing Address - Fax:515-278-4608
Practice Address - Street 1:10437 HICKMAN RD
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-3727
Practice Address - Country:US
Practice Address - Phone:515-278-4594
Practice Address - Fax:515-278-4608
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06423111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA41347OtherBLUE CROSS BLUE SHIELD
IA0401202Medicaid
IAI4874Medicare ID - Type Unspecified