Healthcare Provider Details

I. General information

NPI: 1073959789
Provider Name (Legal Business Name): NORTHWOOD CHIROPRACTIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2013
Last Update Date: 06/11/2020
Certification Date: 06/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1602 CENTRAL AVENUE
NORTHWOOD IA
50459
US

IV. Provider business mailing address

1602 CENTRAL AVE
NORTHWOOD IA
50459-1600
US

V. Phone/Fax

Practice location:
  • Phone: 641-732-4665
  • Fax: 641-732-3770
Mailing address:
  • Phone: 641-323-0096
  • Fax: 641-323-0097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SAWYER J SCHULZ
Title or Position: PRESIDENT
Credential: D.C.
Phone: 641-323-0096