Provider Demographics
NPI:1992979462
Name:STUART HOVEN CHIROPRACTIC, P.C.
Entity type:Organization
Organization Name:STUART HOVEN CHIROPRACTIC, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:
Authorized Official - Last Name:HOVEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:515-462-4644
Mailing Address - Street 1:105 E MADISON ST
Mailing Address - Street 2:
Mailing Address - City:WINTERSET
Mailing Address - State:IA
Mailing Address - Zip Code:50273-2412
Mailing Address - Country:US
Mailing Address - Phone:515-462-4644
Mailing Address - Fax:515-462-2100
Practice Address - Street 1:105 E MADISON ST
Practice Address - Street 2:
Practice Address - City:WINTERSET
Practice Address - State:IA
Practice Address - Zip Code:50273-2412
Practice Address - Country:US
Practice Address - Phone:515-462-4644
Practice Address - Fax:515-462-2100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06439332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1243824Medicaid
IA39761OtherBCBS
IA39761OtherBCBS
IA=========Medicare UPIN