Healthcare Provider Details

I. General information

NPI: 1023015179
Provider Name (Legal Business Name): JAMES WILLIAM WELSH DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 11/16/2025
Certification Date:
Deactivation Date: 07/17/2007
Reactivation Date: 12/05/2007

III. Provider practice location address

104 4TH ST. S.
NORTHWOOD IA
50459-0194
US

IV. Provider business mailing address

104 4TH ST. S. PO BOX 194
NORTHWOOD IA
50459-0194
US

V. Phone/Fax

Practice location:
  • Phone: 641-324-1626
  • Fax:
Mailing address:
  • Phone: 641-324-1626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number05065
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: