Provider Demographics
NPI:1538439427
Name:TIGGES CHIROPRACTIC LLC
Entity type:Organization
Organization Name:TIGGES CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:LEO
Authorized Official - Last Name:TIGGES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:515-984-6300
Mailing Address - Street 1:PO BOX 197
Mailing Address - Street 2:
Mailing Address - City:POLK CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50226-0197
Mailing Address - Country:US
Mailing Address - Phone:515-984-6300
Mailing Address - Fax:515-984-6868
Practice Address - Street 1:201 N 3RD ST
Practice Address - Street 2:SUITE J
Practice Address - City:POLK CITY
Practice Address - State:IA
Practice Address - Zip Code:50226-1260
Practice Address - Country:US
Practice Address - Phone:515-984-6300
Practice Address - Fax:515-984-6868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-09
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007465111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty