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HEALTHSOURCE OF CORALVILLE, PC
NPI 1376811471
Chiropractor in Coralville, IA

Active since December 05, 2011
18010 2ND STREET, SUITE 170, CORALVILLE, IA 52241(319) 373-7576 Get Directions Write a Review

NPPES record last updated: December 5, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Healthsource Of Coralville, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHSOURCE OF CORALVILLE, PC (NPI 1376811471) is a healthcare organization registered as a chiropractor in Coralville, Iowa and active in the NPI registry since December 2011. The organization lists Jeffrey Wisdo, Owner, as its authorized official.

NPPES Registry Identity

NPI1376811471
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameHEALTHSOURCE OF CORALVILLE, PC
Location Address18010 2ND STREET, SUITE 170Coralville, IA 52241
Mailing Address18010 2nd Street, Suite 170Coralville, IA 52241 · (319) 373-7576
Phone(319) 373-7576
Organization SubpartNo
Authorized OfficialJeffrey WisdoOwner · (319) 373-7576
Enumeration DateDecember 5, 2011
✔ NPI 1376811471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IA · 06595
Definition
A 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.
18010 2ND STREET, Coralville, IA 52241
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healthsource Of Coralville, PC's NPI number?

The NPI number for Healthsource Of Coralville, PC is 1376811471. It was assigned to this organization in the NPPES registry on December 5, 2011.

Where is Healthsource Of Coralville, PC located?

Healthsource Of Coralville, PC is located at 18010 2nd Street Suite 170, Coralville, IA 52241. The listed phone number is (319) 373-7576.

What is Healthsource Of Coralville, PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Healthsource Of Coralville, PC was last updated on December 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.