MEDICARE: COMPLETE CHIROPRACTIC HEALTH & WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	06780	IA

General Provider Information

NPI Number	:	1023112026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPLETE CHIROPRACTIC HEALTH & WELLNESS

Provider Business Mailing Address
First Line	:	2415 MT PLEASANT ST
Second Line	:	STE A
City	:	BURLINGTON
State	:	IA
Zip	:	52601-2751
Country	:	US
Telephone Number	:	319-752-1107
Fax Number	:	319-752-1108

Provider Business Practice Location Address
First Line	:	2415 MT PLEASANT ST
Second Line	:	STE A
City	:	BURLINGTON
State	:	IA
Zip	:	52601-2751
Country	:	US
Telephone Number	:	319-752-1107
Fax Number	:	319-752-1108

Authorized Official
Title or Position	:	DOCTOR OWNER
Name	:	JASON W DEJAYNES
Credential	:	DC
Telephone Number	:	319-752-1107

Provider Enumeration Date	:	09/11/2006
Last Update Date	:	08/22/2020

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Directions to “COMPLETE CHIROPRACTIC HEALTH & WELLNESS ” Practice Location

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