Provider Demographics
NPI:1457393845
Name:EHLERS, DARLENE KENDEL (DC DABCI)
Entity Type:Individual
Prefix:DR
First Name:DARLENE
Middle Name:KENDEL
Last Name:EHLERS
Suffix:
Gender:F
Credentials:DC DABCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:TIPTON
Mailing Address - State:IA
Mailing Address - Zip Code:52772-1634
Mailing Address - Country:US
Mailing Address - Phone:563-886-2090
Mailing Address - Fax:563-886-2029
Practice Address - Street 1:200 W SOUTH ST
Practice Address - Street 2:
Practice Address - City:TIPTON
Practice Address - State:IA
Practice Address - Zip Code:52772-1634
Practice Address - Country:US
Practice Address - Phone:563-886-2090
Practice Address - Fax:563-886-2029
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA5216111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
24306Medicare ID - Type Unspecified