MEDICARE: DR. DAVID EARL VORLAND DC

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	04625	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	FAMR1	OTHER	FIRST ADMINISTRATORS
2	15757	OTHER	WELLMARK BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	IA0101	OTHER	JOHN DEERE HEALTCARE

General Provider Information

NPI Number	:	1124195144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID EARL VORLAND DC

Provider Business Mailing Address
First Line	:	1416 MAIN STREET
Second Line	:
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613
Country	:	US
Telephone Number	:	319-268-0415
Fax Number	:	319-268-0419

Provider Business Practice Location Address
First Line	:	1416 MAIN STREET
Second Line	:
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613
Country	:	US
Telephone Number	:	319-268-0415
Fax Number	:	319-268-0419

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	07/08/2007

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