JACK KOENEN (NPI# 1043381692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043381692 |
| Entity Type | Individual |
| Full Name | JACK KOENEN |
| Credential | D.C. |
| Practice Address |
209 S Clark St Forest City IA 50436-1810 |
| Practice Telephone | 6415824625 |
| Practice Fax Number | 6415825510 |
| Mailing Telephone | 6415824625 |
| Mailing Fax Number | 6415825510 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 04849 | IA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK | 20085 | 01 |
| IA | 0200857 | 05 | |
| IA | MIDLANDS CHOICE | 6503 | 01 |
| Street Address |
209 S CLARK ST |
| City | FOREST CITY |
| State | IA |
| Zip Code | 50436-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184832628 | Robin Frances Charlson | Physical Therapist | 1144 Hwy 69 N, Area Education Agency 267, Forest City, IA 50436 | 2007-05-18 |
| 1700975422 | Laila A Buck | Dentist | 132 East J Street, Forest City, IA 50436 | 2006-10-12 |
| 1346334984 | James Lee Brockhohn | Chiropractor | 245 North Clark Street, Forest City, IA 50436 | 2006-10-03 |
| 1376585380 | Twyla D. Ostercamp | Family Medicine | 635 East Hwy 9, Forest City, IA 50436 | 2006-06-12 |
| 1144274440 | County of Winnebago | Public Health or Welfare | 216 South 4th Street, Forest City, IA 50436 | 2006-05-20 |
| 1699987586 | Forest Plaza Assisted Living | Assisted Living Facility | 635 Highway 9 East, Forest City, IA 50436 | 2007-05-04 |
| 1497862072 | Pamela E Keller | Family Medicine | 635 E Us Hwy, Forest City, IA 50436-0000 | 2006-08-23 |
| 1447368170 | Timothy L Ackarman | Physician Assistant | 635 E Us Hwy, Forest City, IA 50436-0000 | 2006-08-25 |
| 1548377120 | Byron H Carlson | Family Medicine | 635 E Us Hwy, Forest City, IA 50436-0000 | 2006-08-23 |
| 1851344352 | Shopko Stores Operating Co LLC | Pharmacy | 616 E Us Highway 9, Forest City, IA 50436-1012 | 2006-05-18 |
| Find all providers in zip 50436 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235766551 | Jill King | Chiropractor | 118 Allendale Dr, Forest City, NC 28043-2874 | 2020-03-25 |
| 1780890624 | Michael David Bickerstaff | Chiropractor | Rr 1 Box 78, Forest City, PA 18421-9715 | 2007-05-15 |
| 1962593095 | Forest City Chiropractic, P.a. | Chiropractor | 467 W Main St, Forest City, NC 28043-2920 | 2006-09-27 |
| 1689770133 | Carolina Chiropractic Plus of Rutherford County Inc. | Chiropractor | 152 West Main St, Forest City, NC 28043 | 2006-09-15 |
| 1437265477 | Simon Paul Calvillo | Chiropractor | 1322 W Main St, Forest City, NC 28043-2555 | 2006-08-22 |
| 1467089706 | Southeast Integrative Health, Pllc | Chiropractor | 118 Allendale Dr, Forest City, NC 28043-2874 | 2020-03-26 |
| 1003443268 | Kathryn Suzanne Heidt | Chiropractor | 118 Allendale Dr, Forest City, NC 28043-2874 | 2020-03-26 |
| 1942705157 | Kalie Renee Mccurry | Chiropractor | 152 W Main St, Forest City, NC 28043-3050 | 2018-03-28 |
| 1760868400 | Carolina Chiropractic Plus of Rutherford | Chiropractor | 152 W Main St, Forest City, NC 28043-3023 | 2015-08-05 |
| 1609141571 | John Andrew Morris | Chiropractor | 152 W Main St, Forest City, NC 28043-3023 | 2012-03-12 |
| Find all providers in FOREST CITY | ||||
| City | FOREST CITY |
| Zip Code | 50436 |
Please comment or provide details below to improve the information on JACK KOENEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.