| Dbmc Llc | |
|
417 W 4th St Saint Ansgar IA 50472-1316 | |
| (641) 713-2168 | |
| (641) 713-3168 |
| Full Name | Dbmc Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 417 W 4th St, Saint Ansgar, Iowa |
| Authorized Official Name and Position | Denis John Boerjan (CHIEF MEMBER) |
| Authorized Official Contact | 5072737236 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dbmc Llc 417 W 4th St Po Box 250 Saint Ansgar IA 50472-1316 Ph: (641) 713-2168 | Dbmc Llc 417 W 4th St Saint Ansgar IA 50472-1316 Ph: (641) 713-2168 |
| NPI Number | 1114321379 |
|---|---|
| Provider Enumeration Date | 10/17/2014 |
| Last Update Date | 10/17/2014 |
| Medicare PECOS PAC ID | 2769604974 |
|---|---|
| Medicare Enrollment ID | O20141103002163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114321379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A05898 (Iowa) | Primary |
| Provider Name | Denis John Boerjan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699768655 PECOS PAC ID: 3173575081 Enrollment ID: I20050218000065 |
St Ansgar Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 140 W 4th St, Suite 1, Saint Ansgar, IA 50472 Phone: 641-736-4401 Fax: 641-713-4977 |