MEDICARE: FOUNTAIN CHIROPRACTIC CLINIC, INC.

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	06478	IA

General Provider Information

NPI Number	:	1447508015
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOUNTAIN CHIROPRACTIC CLINIC, INC.

Provider Business Mailing Address
First Line	:	2728 ASBURY RD.
Second Line	:	SUITE 920
City	:	DUBUQUE
State	:	IA
Zip	:	52001-2970
Country	:	US
Telephone Number	:	563-582-5185
Fax Number	:	563-582-3075

Provider Business Practice Location Address
First Line	:	2728 ASBURY RD.
Second Line	:	SUITE 920
City	:	DUBUQUE
State	:	IA
Zip	:	52001-2970
Country	:	US
Telephone Number	:	563-582-5185
Fax Number	:	563-582-3075

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LEE JOSEPH SMITH
Credential	:	D.C.
Telephone Number	:	563-582-5185

Provider Enumeration Date	:	08/29/2012
Last Update Date	:	08/29/2012

Similar Medicare Providers

1861342495 — CORNERSTONE CAREGIVING EAST LLC
Practice Location Address:

2728 ASBURY RD STE 780
DUBUQUE, IA
52001-2970

Practice Phone: 563-500-2407
Practice Fax:

1871469742 — HEARTLAND HEALTHCARE PLLC
Practice Location Address:

210 JONES ST STE 212
DUBUQUE, IA
52001-7615

Practice Phone: 563-677-6270
Practice Fax: 563-202-6975

1447101787 — JESSICA CARR LCSW LLC
Practice Location Address:

210 JONES ST # 115
DUBUQUE, IA
52001-7615

Practice Phone: 214-308-1373
Practice Fax:

1356222848 — TERESA WHITE COUNSELING
Practice Location Address:

2728 ASBURY RD
DUBUQUE, IA
52001-2971

Practice Phone: 815-291-1841
Practice Fax:

1952123507 — TAYLOR EVANS
Practice Location Address:

2000 UNIVERSITY AVE
DUBUQUE, IA
52001-5050

Practice Phone: 563-589-3662
Practice Fax:

1417779968 — AMANDA P SIFUENTES-SMITH PA-C
Practice Location Address:

250 MERCY DR
DUBUQUE, IA
52001-7320

Practice Phone: 563-589-9666
Practice Fax:

Directions to “FOUNTAIN CHIROPRACTIC CLINIC, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.