Ccc Pc is a Chiropractor based in Red Oak, IA. Ccc Pc practices in Red Oak, IA. The NPI Number for Ccc Pc is 1740290907 and holds a License No. 06364 (Iowa).
The current practice location address for Ccc Pc is 404 N 5Th St, Red Oak, IA and can be reached out via phone at 712-623-3526.
Location: 404 N 5Th St, Red Oak, IA, 51566-2323
Provider Profile Details
NPI Number
1740290907
Provider Name
Ccc Pc
Credential
Provider Entity Type
Organization
Address
404 N 5Th St, Red Oak, IA, 51566-2323
Phone Number
712-623-3526
Fax Number
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 231944 | 01 | IA | MIDLANDS CHOICE |
| 24813 | 01 | IA | BCBS |
| 484847348 | 01 | IA | SS# |
Provider Business Practice Location Address Details
Address
404 N 5Th St
City
State
Zip
51566-2323
Phone Number
712-623-3526
Fax Number
Provider Business Mailing Address Details
Address
404 N 5Th St
City
State
Zip
51566-2323
Phone Number
712-623-3526
Fax Number
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
06364 (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.
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