Provider Demographics
NPI:1457654584
Name:ACUPUNCTURE & CHIROPRACTIC CLINIC OF IOWA
Entity Type:Organization
Organization Name:ACUPUNCTURE & CHIROPRACTIC CLINIC OF IOWA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHUFEI
Authorized Official - Middle Name:
Authorized Official - Last Name:KIME
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:319-277-6006
Mailing Address - Street 1:124 E 18TH ST STE 5
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-4276
Mailing Address - Country:US
Mailing Address - Phone:319-277-6006
Mailing Address - Fax:319-277-6006
Practice Address - Street 1:124 E 18TH ST STE 5
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-4276
Practice Address - Country:US
Practice Address - Phone:319-277-6006
Practice Address - Fax:319-277-6006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-12
Last Update Date:2010-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007371111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty