Healthcare Provider Details

I. General information

NPI: 1740465418
Provider Name (Legal Business Name): SAYLORVILLE CHIROPRACTIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6633 NW 6TH DR STE 3
DES MOINES IA
50313-1008
US

IV. Provider business mailing address

6633 NW 6TH DR APT 3
DES MOINES IA
50313-1008
US

V. Phone/Fax

Practice location:
  • Phone: 515-289-0400
  • Fax: 515-289-0424
Mailing address:
  • Phone: 515-289-0400
  • Fax: 515-289-0424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number
License Number StateIA

VIII. Authorized Official

Name: DR. JASON M SCHLICHTE
Title or Position: PRESIDENT
Credential: DC
Phone: 515-289-0400