Healthcare Provider Details

I. General information

NPI: 1104899228
Provider Name (Legal Business Name): HAROLD IVAN ALCOTT DC
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 8TH ST
BELLE PLAINE IA
52208-2026
US

IV. Provider business mailing address

502 8TH ST
BELLE PLAINE IA
52208-2026
US

V. Phone/Fax

Practice location:
  • Phone: 319-444-3515
  • Fax:
Mailing address:
  • Phone: 319-444-3515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberA04033
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: