Provider Demographics
NPI:1528260098
Name:BETTERTON FAMILY CHIROPRACTIC, P.C.
Entity type:Organization
Organization Name:BETTERTON FAMILY CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:BETTERTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:319-472-5151
Mailing Address - Street 1:1307 W 13TH ST
Mailing Address - Street 2:
Mailing Address - City:VINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52349-1400
Mailing Address - Country:US
Mailing Address - Phone:319-472-5151
Mailing Address - Fax:877-300-8998
Practice Address - Street 1:1307 W 13TH ST
Practice Address - Street 2:
Practice Address - City:VINTON
Practice Address - State:IA
Practice Address - Zip Code:52349-1400
Practice Address - Country:US
Practice Address - Phone:319-472-5151
Practice Address - Fax:877-300-8998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06409111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1228155Medicaid
IADC8557OtherRAILROAD MEDICARE
IA25853OtherBLUE CROSS BLUE SHIELD
IA1228155Medicaid
IADC8557OtherRAILROAD MEDICARE