Provider Demographics
NPI:1316299928
Name:CHIROPRACTIC FIRST PC
Entity type:Organization
Organization Name:CHIROPRACTIC FIRST PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:MUELLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:563-582-0847
Mailing Address - Street 1:988 WEST 3RD ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001
Mailing Address - Country:US
Mailing Address - Phone:563-582-0847
Mailing Address - Fax:
Practice Address - Street 1:988 W 3RD ST
Practice Address - Street 2:SUITE 204
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-6666
Practice Address - Country:US
Practice Address - Phone:563-582-0847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-05
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA6279111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty