Provider Demographics
NPI:1962721639
Name:BROWNE FAMILY CHIROPRACTIC PC
Entity type:Organization
Organization Name:BROWNE FAMILY CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BEAU
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:BROWNE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:641-628-3133
Mailing Address - Street 1:312 OSKALOOSA ST
Mailing Address - Street 2:
Mailing Address - City:PELLA
Mailing Address - State:IA
Mailing Address - Zip Code:50219-2122
Mailing Address - Country:US
Mailing Address - Phone:641-628-3133
Mailing Address - Fax:641-628-3033
Practice Address - Street 1:312 OSKALOOSA ST
Practice Address - Street 2:
Practice Address - City:PELLA
Practice Address - State:IA
Practice Address - Zip Code:50219-2122
Practice Address - Country:US
Practice Address - Phone:641-628-3133
Practice Address - Fax:641-628-3033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-20
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007039111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAIB0004Medicare PIN