Provider Demographics
NPI:1124308630
Name:CEDAR CHIROPRACTIC AND ACUPUNCTURE CLINIC, INC
Entity type:Organization
Organization Name:CEDAR CHIROPRACTIC AND ACUPUNCTURE CLINIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:563-432-7266
Mailing Address - Street 1:213 E 1ST ST
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52306-7700
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:213 E 1ST ST
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:IA
Practice Address - Zip Code:52306-7700
Practice Address - Country:US
Practice Address - Phone:563-432-7266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-29
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007184111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty