Provider Demographics
NPI:1457369639
Name:MULTI CARE PHYSICIANS GROUP PC
Entity Type:Organization
Organization Name:MULTI CARE PHYSICIANS GROUP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE MGR.
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:SPOTTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-276-4325
Mailing Address - Street 1:3930 STADIUM DR
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51106-5166
Mailing Address - Country:US
Mailing Address - Phone:712-276-4325
Mailing Address - Fax:712-276-6033
Practice Address - Street 1:3930 STADIUM DR
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51106-5166
Practice Address - Country:US
Practice Address - Phone:712-276-4325
Practice Address - Fax:712-276-6033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0100XChiropractic ProvidersChiropractorOccupational HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI7760Medicare ID - Type UnspecifiedFACILITY MEDICARE NUMBER