Healthcare Provider Details

I. General information

NPI: 1649319831
Provider Name (Legal Business Name): CYNTHIA LORRAINE HOWARD B.S., D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CYNTHIA LORRAINE BARTON BS,DC

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 06/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 S MISSISSIPPI ST SUITE 1
BLUE GRASS IA
52726-9306
US

IV. Provider business mailing address

121 S MISSISSIPPI ST SUITE 1
BLUE GRASS IA
52726-9306
US

V. Phone/Fax

Practice location:
  • Phone: 563-505-1127
  • Fax: 563-484-5304
Mailing address:
  • Phone: 563-505-1127
  • Fax: 563-484-5304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number06947
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: