Provider Demographics
NPI:1801275912
Name:CORNERSTONE CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:CORNERSTONE CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAIGE
Authorized Official - Middle Name:
Authorized Official - Last Name:VIERKANDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-316-1115
Mailing Address - Street 1:840 BROOKS RD
Mailing Address - Street 2:
Mailing Address - City:IOWA FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50126-8022
Mailing Address - Country:US
Mailing Address - Phone:641-316-1115
Mailing Address - Fax:641-316-1116
Practice Address - Street 1:840 BROOKS RD
Practice Address - Street 2:
Practice Address - City:IOWA FALLS
Practice Address - State:IA
Practice Address - Zip Code:50126-8022
Practice Address - Country:US
Practice Address - Phone:641-316-1115
Practice Address - Fax:641-316-1116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-21
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA076279111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty