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Dr. Jackie Lee Carolus, DC
Electroneurodiagnostic Specialist/Technologist in Perry, Iowa
NPI 1144527557

Jackie Lee Carolus is a Electroneurodiagnostic Specialist/Technologist based in San Antonio, IA and is specialized in Electroneurodiagnostic. Jackie Lee Carolus practices in Perry, IA and has the professional credentials of DC. The NPI Number for Jackie Lee Carolus is 1144527557 and holds a License No. 5355 (Iowa).

The current practice location address for Jackie Lee Carolus is 403 1St Ave, Perry, IA and can be reached out via phone at 515-465-3585 and via fax at 515-465-4651. You can also correspond with Jackie Lee Carolus through the mailing address at PO BOX 592442, SAN ANTONIO, TX - 78259-0172 (mailing address contact number: 515-494-0966).

Location: 403 1St Ave, Perry, IA, 78259-0172
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144527557
Provider Name
Jackie Lee Carolus
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
403 1St Ave, Perry, IA, 78259-0172
Phone Number
515-465-3585
Fax Number
515-465-4651
Provider Enumeration Date
02/21/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IB2212002 01 IA PTAN
institution
Provider Business Practice Location Address Details
Address
403 1St Ave
City
Perry
State
Iowa
Zip
50220-1902
Phone Number
515-465-3585
Fax Number
515-465-4651
person
Provider Business Mailing Address Details
Address
403 1St Ave
City
Perry
State
Iowa
Zip
50220-1902
Phone Number
515-465-3585
Fax Number
515-465-4651
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
007416 (Iowa)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Electroneurodiagnostic
Taxonomy
246ZE0600X
License No.
5355 (Minnesota)
Definition
Definition to come...
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