Healthcare Provider Details
I. General information
NPI: 1134273287
Provider Name (Legal Business Name): ADAIR CHIROPRACTIC PLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10 CIRCLE DR SUITE 1
NORTH LIBERTY IA
52317-8818
US
IV. Provider business mailing address
10 CIRCLE DR SUITE 1
NORTH LIBERTY IA
52317-8818
US
V. Phone/Fax
- Phone: 319-665-2323
- Fax: 319-665-2327
- Phone: 319-665-2323
- Fax: 319-665-2327
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 06933 |
| License Number State | IA |
VIII. Authorized Official
Name: DR.
KARLA
KAY
ADAIR
Title or Position: PRESIDENT
Credential: D.C.
Phone: 319-665-2323