Provider Demographics
NPI:1902174006
Name:EXCEL CHIROPRACTIC AND REHAB PC
Entity Type:Organization
Organization Name:EXCEL CHIROPRACTIC AND REHAB PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:HAUSMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:319-393-4264
Mailing Address - Street 1:1625 BOYSON RD.
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HIAWATHA
Mailing Address - State:IA
Mailing Address - Zip Code:52233
Mailing Address - Country:US
Mailing Address - Phone:319-373-7576
Mailing Address - Fax:
Practice Address - Street 1:1625 BOYSON RD.
Practice Address - Street 2:SUITE 104
Practice Address - City:HIAWATHA
Practice Address - State:IA
Practice Address - Zip Code:52233
Practice Address - Country:US
Practice Address - Phone:319-373-7576
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-05
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06595111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty