Provider Demographics
NPI:1780111096
Name:DR ARIANNE JOHNSON-CALVOPINA PLC
Entity type:Organization
Organization Name:DR ARIANNE JOHNSON-CALVOPINA PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ARIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON-CALVOPINA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:319-853-8592
Mailing Address - Street 1:2771 OAKDALE BLVD STE 2
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-9747
Mailing Address - Country:US
Mailing Address - Phone:319-853-8592
Mailing Address - Fax:
Practice Address - Street 1:2771 OAKDALE BLVD STE 2
Practice Address - Street 2:
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-9747
Practice Address - Country:US
Practice Address - Phone:319-853-8592
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR ARIANNE JOHNSON-CALVOPINA PLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-17
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA086435111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1316314867Medicaid