1952672800 NPI number — NATURAL HEALTH CHIROPRACTIC AND ACUPUNCTURE LLC

Table of content: DR. DELLON GITHAGUI KARUGA PHARMD (NPI 1790495729)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952672800 NPI number — NATURAL HEALTH CHIROPRACTIC AND ACUPUNCTURE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NATURAL HEALTH CHIROPRACTIC AND ACUPUNCTURE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952672800
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/15/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3405 N ANKENY BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ANKENY
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50023-4709
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
515-964-5404
Provider Business Mailing Address Fax Number:
515-964-1606

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3405 N ANKENY BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ANKENY
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50023-4709
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-964-5404
Provider Business Practice Location Address Fax Number:
515-964-1606
Provider Enumeration Date:
01/24/2012

Additional Information

Authorized Official

Authorized Official Last Name:
KNOBBE
Authorized Official First Name:
JENNIFER
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
OWNER/CHIROPRACTOR
Authorized Official Telephone Number:
515-964-5404

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  007471 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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