Provider Demographics
NPI:1346412095
Name:ONE CHIROPRACTIC, INC.
Entity type:Organization
Organization Name:ONE CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:BARTON
Authorized Official - Last Name:STURGIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:712-469-3037
Mailing Address - Street 1:1016 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MANSON
Mailing Address - State:IA
Mailing Address - Zip Code:50563-5156
Mailing Address - Country:US
Mailing Address - Phone:712-469-3037
Mailing Address - Fax:
Practice Address - Street 1:1016 MAIN ST
Practice Address - Street 2:
Practice Address - City:MANSON
Practice Address - State:IA
Practice Address - Zip Code:50563-5156
Practice Address - Country:US
Practice Address - Phone:712-469-3037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06477111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAU89209Medicare UPIN
IAI16356Medicare PIN