MEDICARE: DR. CODY LYNN HOEFERT D.C.

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	06706	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	20026	OTHER	IA	BCBS OF IOWA
4	34836	OTHER	IA	SIOUX VALLEY
5	493943300	OTHER	IA	MN HEALTHCARE PLANS
6	9936	OTHER	IA	AVERA

General Provider Information

NPI Number	:	1144290370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CODY LYNN HOEFERT D.C.

Provider Business Mailing Address
First Line	:	909 S UNION ST
Second Line	:
City	:	ROCK RAPIDS
State	:	IA
Zip	:	51246-1905
Country	:	US
Telephone Number	:	712-472-4732
Fax Number	:	712-472-4734

Provider Business Practice Location Address
First Line	:	909 S UNION ST
Second Line	:
City	:	ROCK RAPIDS
State	:	IA
Zip	:	51246-1905
Country	:	US
Telephone Number	:	712-472-4732
Fax Number	:	712-472-4734

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

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	10/25/2012

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