| Healthsource Of Clive | |
|
15920 Hickman Rd Ste 900, Clive, IA 50325-8013 | |
| (515) 987-9574 | |
| Not Available |
| Full Name | Healthsource Of Clive |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 15920 Hickman Rd Ste 900, Clive, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457741712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 076293 (Iowa) | Primary |
| Provider Name | Elizabeth Kay Sweers |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083003404 PECOS PAC ID: 3173840501 Enrollment ID: I20150324002649 |
| Provider Name | Mikayla Cummings |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932819273 PECOS PAC ID: 6002280369 Enrollment ID: I20230328001739 |
| Mailing Address | Practice Location Address |
|---|---|
| Healthsource Of Clive 15920 Hickman Rd Ste 900, Clive, IA 50325-8013 Ph: (515) 987-9574 | Healthsource Of Clive 15920 Hickman Rd Ste 900, Clive, IA 50325-8013 Ph: (515) 987-9574 |
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