Provider Demographics
NPI:1124328331
Name:HARMONY CHIROPRACTIC, PC
Entity type:Organization
Organization Name:HARMONY CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JODI
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BASSETT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:515-523-1888
Mailing Address - Street 1:122 N DIVISION ST
Mailing Address - Street 2:PO BOX 547
Mailing Address - City:STUART
Mailing Address - State:IA
Mailing Address - Zip Code:50250-7719
Mailing Address - Country:US
Mailing Address - Phone:515-523-1888
Mailing Address - Fax:515-523-1999
Practice Address - Street 1:122 N DIVISION ST
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:IA
Practice Address - Zip Code:50250-7719
Practice Address - Country:US
Practice Address - Phone:515-523-1888
Practice Address - Fax:515-523-1999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05482111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA000074Medicaid
IA00074Medicare PIN
T95936Medicare UPIN