Healthcare Provider Details

I. General information

NPI: 1679719900
Provider Name (Legal Business Name): VAASSEN CHIROPRACTIC & ACUPUNCTURE PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2008
Last Update Date: 12/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2420 WHITETAIL DR
DUBUQUE IA
52002-2341
US

IV. Provider business mailing address

2420 WHITETAIL DR
DUBUQUE IA
52002-2341
US

V. Phone/Fax

Practice location:
  • Phone: 563-513-9292
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: AMY T VAASSEN
Title or Position: OWNER
Credential:
Phone: 563-513-9292