1972578011

Everything you always wanted to know about DR. BJERKE JEROME RODNEY DC but were afraid to ask.

DR. BJERKE JEROME RODNEY DC

You can also download the this 1972578011 data report as csv | excel | json | xml
Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
DR. BJERKE JEROME RODNEY DC
Gender:
Male
Enumeration date:
2006-02-22
Last update date:
2007-07-08
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state
0237032 Medicaid none IA
T01354 Medicare UPIN none none
23703 Medicare ID-Type Undpecified none IA

Taxonomies

Taxonomy State License Number Primary?
111N00000X Chiropractor IA A05108 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 5159640627
Practice Location Address Telephone Number 5159640627
Practice Location Address Fax Number 5159640627
Mailing Address Fax Number 5159648611

Addresses

Type Address City State Postal Country
Mailing Address 105 NE TRILEIN DR ANKENY IA 50021 IA
Practice Location Address 105 NE TRILEIN DR ANKENY IA 50021 IA

Other NPI Records that share a phone number

NPI Name Address State City
1487819249 BJERKE CHIROPRACTIC PC
Organization
105 NE TRILEIN DR IA ANKENY

Other NPI Records that share an address

NPI Name Address State City
1487819249 BJERKE CHIROPRACTIC PC
Organization
105 NE TRILEIN DR IA ANKENY