Provider Demographics
NPI:1831336916
Name:DR. RICHARD BETTS PC
Entity type:Organization
Organization Name:DR. RICHARD BETTS PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:BETTS
Authorized Official - Suffix:
Authorized Official - Credentials:D C
Authorized Official - Phone:563-689-4560
Mailing Address - Street 1:132 W GILLET ST
Mailing Address - Street 2:PO BOX 130
Mailing Address - City:PRESTON
Mailing Address - State:IA
Mailing Address - Zip Code:52069
Mailing Address - Country:US
Mailing Address - Phone:563-689-4560
Mailing Address - Fax:877-631-6356
Practice Address - Street 1:132 W GILLET ST
Practice Address - Street 2:
Practice Address - City:PRESTON
Practice Address - State:IA
Practice Address - Zip Code:52069-9744
Practice Address - Country:US
Practice Address - Phone:653-689-4560
Practice Address - Fax:877-631-6356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-12
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007343111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty