Provider Demographics
NPI:1861776114
Name:JANNING FAMILY CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:JANNING FAMILY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:JANNING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:712-210-0952
Mailing Address - Street 1:PO BOX 160
Mailing Address - Street 2:
Mailing Address - City:GRANGER
Mailing Address - State:IA
Mailing Address - Zip Code:50109-0160
Mailing Address - Country:US
Mailing Address - Phone:712-210-0952
Mailing Address - Fax:515-999-8017
Practice Address - Street 1:2208 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:GRANGER
Practice Address - State:IA
Practice Address - Zip Code:50109-4400
Practice Address - Country:US
Practice Address - Phone:712-210-0952
Practice Address - Fax:515-999-8017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-05
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007438111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty