| Intentional Chiropractic Pc | |
|
3640 Canterbury Ct, Waterloo, IA 50702-5705 | |
| (641) 780-4192 | |
| Not Available |
| Full Name | Intentional Chiropractic Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3640 Canterbury Ct, Waterloo, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760337331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Lance E Vanderloo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003817305 PECOS PAC ID: 8729041512 Enrollment ID: I20041111000966 |
| Provider Name | Matthew Gronewold |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366836389 PECOS PAC ID: 5193045045 Enrollment ID: I20150518001350 |
| Mailing Address | Practice Location Address |
|---|---|
| Intentional Chiropractic Pc 3640 Canterbury Ct, Waterloo, IA 50702-5705 Ph: (641) 780-4192 | Intentional Chiropractic Pc 3640 Canterbury Ct, Waterloo, IA 50702-5705 Ph: (641) 780-4192 |
Lance E Vanderloo, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3731 Kimball Ave, Waterloo, IA 50702 Phone: 319-232-1143 Fax: 319-232-3279 |
Dr. Brady Hakeman, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 541 King Dr, Waterloo, IA 50702 Phone: 319-233-9717 |
Ebert Chiropractic Clinic Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1445 Ansborough Avenue, Waterloo, IA 50701 Phone: 319-232-9436 Fax: 319-232-2342 |
Mr. Eric M Rottinghaus, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 40 Brookeridge Dr, Waterloo, IA 50701 Phone: 319-232-2100 Fax: 319-232-6389 |
Dr. Robert William Fuelling, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1425 W 5th St, Suite 1, Waterloo, IA 50702 Phone: 319-233-9717 Fax: 319-233-7628 |
Back In Motion Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2835 University Ave, Waterloo, IA 50701 Phone: 319-233-6673 |
Dr. Michael Patrick O'hara, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3644 University Ave, Waterloo, IA 50701 Phone: 319-233-3600 Fax: 319-233-3980 |