Provider Demographics
NPI:1134871387
Name:VOORTMANN CHIROPRACTIC INC
Entity type:Organization
Organization Name:VOORTMANN CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:VOORTMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:641-357-4499
Mailing Address - Street 1:1101 10TH AVE N
Mailing Address - Street 2:
Mailing Address - City:CLEAR LAKE
Mailing Address - State:IA
Mailing Address - Zip Code:50428-1437
Mailing Address - Country:US
Mailing Address - Phone:641-357-4499
Mailing Address - Fax:641-357-4469
Practice Address - Street 1:1101 10TH AVE N
Practice Address - Street 2:
Practice Address - City:CLEAR LAKE
Practice Address - State:IA
Practice Address - Zip Code:50428-1437
Practice Address - Country:US
Practice Address - Phone:641-357-4499
Practice Address - Fax:641-357-4469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-19
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty