Provider Demographics
NPI:1063784189
Name:CONLIN CHIROPRACTIC
Entity type:Organization
Organization Name:CONLIN CHIROPRACTIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SEC
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CONLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:319-277-9755
Mailing Address - Street 1:6015 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-5598
Mailing Address - Country:US
Mailing Address - Phone:319-277-9755
Mailing Address - Fax:
Practice Address - Street 1:6015 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-5598
Practice Address - Country:US
Practice Address - Phone:319-277-9755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-05
Last Update Date:2012-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007390111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty