BRUCE A EWOLDT (NPI# 1831163088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831163088 |
| Entity Type | Individual |
| Full Name | BRUCE A EWOLDT |
| Practice Address |
1134 Main St. Po Box 808 Hull IA 51239 |
| Mailing Address |
Po Box 808 Hull IA 51239-0808 |
| Practice Telephone | 7124392936 |
| Mailing Telephone | 7124392936 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2019-05-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | A5116 | IA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0231944 | 05 |
| Street Address |
1134 MAIN ST. PO BOX 808 |
| City | HULL |
| State | IA |
| Zip Code | 51239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285874198 | Helen Jean Golden | Nurse Practitioner | 3459 Us 75 Ave, Hull, IA 51239 | 2009-03-05 |
| 1245390764 | Scott Rens | Family Medicine | 807 Main Street, Hull, IA 51239 | 2006-12-12 |
| 1760540173 | City of Hull | Emergency Medical Technician, Paramedic | 1133 Maple Street, Hull, IA 51239 | 2006-12-05 |
| 1316019243 | Leah Jo Destigter | Physical Therapist | 807 Main St., Suite C, Hull, IA 51239 | 2006-11-15 |
| 1477660512 | Dykstra Pharmacy Co | Pharmacist | 1044 Main Street, Box 309, Hull, IA 51239 | 2006-08-24 |
| 1396878708 | Sioux Center Health | Family Medicine | 807 Main St, Hull, IA 51239 | 2007-03-14 |
| 1023177367 | Boyden-hull Community School District | Local Education Agency (LEA) | 801 First Street, Box 678, Hull, IA 51239-0678 | 2006-12-06 |
| 1649813726 | Tarah Kooima | Physical Medicine & Rehabilitation | 807 Main St Ste C, Hull, IA 51239-7204 | 2019-10-22 |
| 1699245381 | Dana Elaine Visser | Occupational Therapist | 807 Main Stree Suite C, Hull, IA 51239-7204 | 2018-11-26 |
| 1427369222 | Jamie Vitamvas | Family Medicine | 807 Main St Ste D, Hull, IA 51239-7204 | 2010-06-25 |
| Find all providers in zip 51239 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376922989 | Hull Chiropractic | Chiropractor | 521 Black Forest Rd, Suite 4, Hull, IA 51239-7411 | 2015-05-28 |
| 1922161108 | Kenneth James Goodman | Chiropractor | 487 Nantasket Ave, Hull, MA 02045 | 2006-12-18 |
| 1699829705 | Goodman Chiropractic Offices | Chiropractor | 487 Nantasket Ave, Hull, MA 02045 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174197 | Ryan Hartley | Chiropractor | 900 42nd St, Des Moines, IA 50312-2616 | 2020-11-02 |
| 1851991491 | Kaleb Olson | Chiropractor | 112 Ne Ewing St Ste A, Grimes, IA 50111-2181 | 2020-10-30 |
| 1386244283 | Innate Health Chiropractic Pllc | Chiropractor | 6 Hawkeye Dr Ste 105, North Liberty, IA 52317-8904 | 2020-10-29 |
| 1316552052 | Shannon Kathleen Christiansen | Chiropractor | 2108 Vine St, Davenport, IA 52804-2056 | 2020-09-10 |
| 1609487230 | Joseph Aaron Viers | Chiropractor | 250 W 1st St Ste D, Grimes, IA 50111-2138 | 2020-08-17 |
| 1821609918 | Kira Baca | Chiropractor | 3231 Schuetzen Ln Apt 3, Davenport, IA 52804-4344 | 2020-08-12 |
| 1073123527 | Aligned Chiropractic Pllc | Chiropractor | 928 Valley View Dr Ste 14, Council Bluffs, IA 51503-5288 | 2020-08-08 |
| 1659980191 | Katelyn Ann De Kruyff | Chiropractor | 204 8th St Se Ste A, Altoona, IA 50009-1951 | 2020-07-30 |
| 1477189538 | Acme Chiropractic PC | Chiropractor | 701 Nw School St, Ankeny, IA 50023-1735 | 2020-03-19 |
| 1316572795 | Ayusa Ogawa Lisk | Chiropractor | 4815 Ne Trilein Dr, Ankeny, IA 50021-8106 | 2020-03-06 |
| Find all providers with the same taxonomy | ||||
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| 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.