PRAIRIELAND CHIROPRACTIC P C


Address: 133 W Main Ave, Rockford, IA 50468-7719
Phone: 6417563653

PRAIRIELAND CHIROPRACTIC P C (NPI# 1235489048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235489048
Entity Type Organization
Organization Name PRAIRIELAND CHIROPRACTIC P C
Practice Address 133 W Main Ave
Rockford
IA 50468-7719
Mailing Address 133 W Main Ave
P.o. Box 575
Rockford
IA 50468-7719
Practice Telephone 6417563653
Practice Fax Number 6417563722
Mailing Telephone 6417563653
Mailing Fax Number 6417563722
Enumeration Date 2012-09-19
Last Update Date 2012-09-19
Authorized Official Name DR. JEANNE RENEE STAUDT (PRESIDENT/OWNER)
Authorized Official Telephone 6417563740
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor A05231 IA Chiropractic Providers

Other Provider Identifier

State Issuer Identifier Type Code
IA MEDICARE PTAN 41891 01
IA PALMETTO GBA PROV. NUMBER P00070391 01
IA 1242305 05
IA BC/BS PROVIDER NUMBER 41891 01

Office Location

Street Address 133 W MAIN AVE
City ROCKFORD
State IA
Zip Code 50468-7719

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821039942 Jeanne Renee Staudt Chiropractor 133 W Main Ave, Rockford, IA 50468-7719 2006-06-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699389882 Mary Ann Shaw Nurse Practitioner 207 W Main Ave, Rockford, IA 50468-1213 2020-09-04
1093165037 Colin Devary Physical Therapy Assistant 110 2nd St Se, Rockford, IA 50468-1251 2016-06-21
1609881457 North Iowa Mercy Clinics Family Medicine 702 E Main Ave, Rockford, IA 50468-1324 2006-07-30
1699251223 Kimberly Ann Kuehner Nurse Practitioner 702 E Main Ave, Rockford, IA 50468-1324 2018-07-17
1831601335 Bethany Grant Nurse Practitioner 702 E Main Ave, Rockford, IA 50468-1324 2017-10-25
1164854105 Kimberely S Sarik Nurse Practitioner 702 E Main Ave, Rockford, IA 50468-1324 2013-08-01
1174539639 Michael C Lindstrom Family Medicine 702 E Main Ave, Rockford, IA 50468-1324 2006-08-01
1154337632 Lisa A Kapler Family Medicine 702 E Main Ave, Rockford, IA 50468-1324 2006-08-01
1053436758 Rudd Rockford Marble Rock Local Education Agency (LEA) 1460 210th St, Rockford, IA 50468-8192 2007-03-20

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649886730 Simply Wellness Chiropractic, LLC Chiropractor 7117 Crimson Ridge Dr Ste 1, Rockford, IL 61107-6213 2020-09-23
1477161966 Trufant Chiropractic Center Chiropractor 11775 Cedar Rock Dr Ne Ste C, Rockford, MI 49341-8255 2020-07-21
1700405925 James Robert Palmer IIi Chiropractor 863 S Perryville Rd, Rockford, IL 61108-4328 2020-04-09
1720613631 Mario Nathaniel Rosales Chiropractor 818 Coolidge Pl, Rockford, IL 61107-3638 2020-03-11
1740840271 Natalie Rose Richards Chiropractor 5875 E Riverside Blvd Ste 115, Rockford, IL 61114-4937 2019-06-17
1710449756 Vitaliy Dobrogorskiy Chiropractor 4350 Morsay Dr, Rockford, IL 61107-4877 2019-04-01
1871008409 Brad Johannsen Chiropractor 6769 Courtland Dr Ne Ste 100, Rockford, MI 49341-7243 2017-12-05
1245755867 Lynch Chiropractic Chiropractor 3806 E State St Ste 101, Rockford, IL 61108-2057 2017-08-04
1871049692 Nicole Theresa Giacopelli Chiropractor 6000 E State St Ste 201, Rockford, IL 61108-2521 2016-08-31
1396132692 Kb Chiropractic Center, Inc. Chiropractor 2606 Broadway, Suite 1a, Rockford, IL 61108-5768 2015-04-24
Find all providers in ROCKFORD

Competitor

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City ROCKFORD
Zip Code 50468

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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