Provider Demographics
NPI:1407050651
Name:CAREW CHIROPRACTIC INC
Entity type:Organization
Organization Name:CAREW CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARTER
Authorized Official - Middle Name:JEFFREY
Authorized Official - Last Name:CAREW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:319-337-2335
Mailing Address - Street 1:2411 2ND ST STE 1
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-1500
Mailing Address - Country:US
Mailing Address - Phone:319-337-2335
Mailing Address - Fax:319-337-2353
Practice Address - Street 1:2451 CORAL CT STE 2
Practice Address - Street 2:
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-2837
Practice Address - Country:US
Practice Address - Phone:319-337-2335
Practice Address - Fax:319-249-2808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05429111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA28515OtherBCBS
IA0272526Medicaid
IA28515OtherBCBS