FAMILY AND SPORT CHIROPRACTIC LLC (NPI# 1639590581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639590581 |
| Entity Type | Organization |
| Organization Name | FAMILY AND SPORT CHIROPRACTIC LLC |
| Practice Address |
1801 Brown Deer Trl Coralville IA 52241-1164 |
| Mailing Address |
1395 Jordan St Suite D North Liberty IA 52317-4759 |
| Practice Telephone | 3193251690 |
| Mailing Telephone | 3197743811 |
| Mailing Fax Number | 3197745515 |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2014-03-26 |
| Authorized Official Name | MOHAMED KARIM (CHIROPRACTOR) |
| Authorized Official Telephone | 3193251690 |
| Authorized Official Credential | B.A, D.C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 007724 | IA | Chiropractic Providers |
| Street Address |
1801 BROWN DEER TRL |
| City | CORALVILLE |
| State | IA |
| Zip Code | 52241-1164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281915 | Impact Physician Group Iowa LLC | Internal Medicine | 2801 Heartland Dr, Coralville, IA 52241 | 2020-10-01 |
| 1114550886 | Encompass Health Rehabilitation Hospital of Iowa City, LLC | Rehabilitation Hospital | 2450 Coral Court, Coralville, IA 52241 | 2020-02-20 |
| 1215575394 | Eastern Iowa Rehabilitation Hospital, LLC | Rehabilitation Hospital | 2801 Heartland Drive, Coralville, IA 52241 | 2019-12-19 |
| 1851938690 | Matthew Easley | Speech-Language Pathologist | 2854 Coral Court, Ste 1, On With Life Outpatient Neuro Rehabilitation, Coralville, IA 52241 | 2019-11-27 |
| 1245892629 | On With Life, Inc | Clinic/Center | 2854 Coral Court, Suite 1, Coralville, IA 52241 | 2019-07-05 |
| 1376024869 | Hy Vee Inc | Pharmacy | 3285 Crosspark Road, Coralville, IA 52241 | 2018-08-23 |
| 1861996191 | Roggy Vision Center, Pllc | Optometrist | 708 5th St Ste 1, Coralville, IA 52241 | 2018-03-21 |
| 1013446467 | Monica Basile | Midwife | 501 12th Ave, St 102, Coralville, IA 52241 | 2017-06-08 |
| 1568893121 | Mohamed Karim | Chiropractor | 1801 Brown Deer Trail, Coralville, IA 52241 | 2013-12-09 |
| 1689011405 | Nicole Ann Wagaman | Family Medicine | 2801 Heartland Dr., Coralville, IA 52241 | 2013-06-03 |
| Find all providers in zip 52241 | ||||
| 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 |
|---|---|---|---|---|
| 1538661442 | Jenny Lynn Brons | Chiropractor | 2411 Coral Ct Ste 3, Coralville, IA 52241-2878 | 2018-03-07 |
| 1720432164 | Molly Michelle Lucio | Chiropractor | 2411 Coral Court Ste. 3, Coralville, IA 52241-2878 | 2016-04-22 |
| 1497168157 | Petitgout, Inc. | Chiropractor | 850 22nd Ave Ste 3, Coralville, IA 52241-1688 | 2014-06-10 |
| 1568893121 | Mohamed Karim | Chiropractor | 1801 Brown Deer Trail, Coralville, IA 52241 | 2013-12-09 |
| 1144576133 | Back 2 Act Chiropractic & Wellness Center Pllc | Chiropractor | 1150 5th St Ste 288, Coralville, IA 52241-2932 | 2012-07-27 |
| 1265794291 | Jiamei H Chen | Chiropractor | 2318 Belmont Dr, Coralville, IA 52241-9706 | 2012-06-14 |
| 1376811471 | Healthsource of Coralville, PC | Chiropractor | 18010 2nd Street, Suite 170, Coralville, IA 52241 | 2011-12-05 |
| 1881984185 | Christopher Glenn Jacobi | Chiropractor | 1714 5th St, Suite #4, Coralville, IA 52241-1838 | 2011-04-08 |
| 1972893105 | Conrad Stalheim | Chiropractor | 410 1st Ave, Coralville, IA 52241-2406 | 2011-04-08 |
| 1619279056 | Corridor Chiropractic of Iowa Plc | Chiropractor | 2201 E Grantview Dr, Coralville, IA 52241-3488 | 2010-11-17 |
| Find all providers in CORALVILLE | ||||
| City | CORALVILLE |
| Zip Code | 52241 |
Please comment or provide details below to improve the information on FAMILY AND SPORT CHIROPRACTIC LLC.
| 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.