Provider Demographics
NPI:1780291443
Name:VIERS CHIROPRACTIC CLINIC PC
Entity type:Organization
Organization Name:VIERS CHIROPRACTIC CLINIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:VIERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:317-445-0135
Mailing Address - Street 1:250 W 1ST ST STE D
Mailing Address - Street 2:
Mailing Address - City:GRIMES
Mailing Address - State:IA
Mailing Address - Zip Code:50111-2138
Mailing Address - Country:US
Mailing Address - Phone:515-986-2233
Mailing Address - Fax:515-986-0041
Practice Address - Street 1:250 W 1ST ST STE D
Practice Address - Street 2:
Practice Address - City:GRIMES
Practice Address - State:IA
Practice Address - Zip Code:50111-2138
Practice Address - Country:US
Practice Address - Phone:515-986-2233
Practice Address - Fax:515-986-0041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty