AMY J GOULET DC NPI 1003870924

Chiropractor in Bettendorf, IA

About AMY GOULET

Amy Goulet is a provider in Bettendorf, IA with more than 15 years of experience. The NPI number assigned to this provider is 1003870924. The practitioner's primary taxonomy code is Chiropractor (111N00000X). The provider is registered as an individual and their NPI record was last updated 10 years ago. Amy Goulet is registered with Medicare and accepts claims assignment.

NPI1003870924 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name AMY J GOULET DC
Provider Location Address2377 CUMBERLAND SQUARE DR BETTENDORF, IA 52722 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address2377 CUMBERLAND SQUARE DR BETTENDORF, IA 52722 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NamePALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduation Year2003
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-17-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date04-28-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

AMY J GOULET DC
2377 CUMBERLAND SQUARE DR
BETTENDORF, IA
ZIP 52722
Phone: (563) 359-9541
Fax: (563) 344-3914
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Mailing Address

AMY J GOULET DC
2377 CUMBERLAND SQUARE DR
BETTENDORF, IA
ZIP 52722
Phone: (563) 359-9541
Fax: (563) 344-3914

Primary Taxonomy

Taxonomy Code111N00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationChiropractor
TypeChiropractic Providers
License No.06715
License StateIA
Taxonomy DescriptionA provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0450536MEDICAID (05)IA
1477566404OTHER (01)IA
I13039MEDICARE ID-TYPE UNSPECIFIED (04)IA
I11500MEDICARE ID-TYPE UNSPECIFIED (04)IA

Map Location


AMY J GOULET DC address is 2377 CUMBERLAND SQUARE DR BETTENDORF, IA 52722

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174788442 LINDSAY JO GALL DC
Individual
Chiropractor2377 CUMBERLAND SQUARE DR
BETTENDORF, IA 52722
(563) 359-9541
1205891868 TRACI N NELSON JOHNSON DC
Individual
Chiropractor2377 CUMBERLAND SQUARE DR
BETTENDORF, IA 52722
(563) 359-9541
1477566404NELSON CHIROPRACTIC SYSTEMS, P.C.
Organization
Chiropractor2377 CUMBERLAND SQUARE DR
BETTENDORF, IA 52722
(563) 359-9541