Provider Demographics
NPI:1124195144
Name:VORLAND, DAVID EARL (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:EARL
Last Name:VORLAND
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1416 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613
Mailing Address - Country:US
Mailing Address - Phone:319-268-0415
Mailing Address - Fax:319-268-0419
Practice Address - Street 1:1416 MAIN STREET
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613
Practice Address - Country:US
Practice Address - Phone:319-268-0415
Practice Address - Fax:319-268-0419
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA04625111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FAMR1OtherFIRST ADMINISTRATORS
15757OtherWELLMARK BCBS
IA0157578Medicaid
IA0101OtherJOHN DEERE HEALTCARE
IA0101OtherJOHN DEERE HEALTCARE