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JOANNA WENAS WIDJAJA DC
NPI 1639909682
Chiropractor in Sergeant Bluff, IA

Active since August 05, 2024
204 1ST ST STE 111, SERGEANT BLUFF, IA 51054(712) 301-7537 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2024, Aug 5, 2024 (2 updates tracked since 2024).

About Joanna Wenas Widjaja Dc NPPES

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

JOANNA WENAS WIDJAJA DC (NPI 1639909682) is an individual chiropractor in Sergeant Bluff, Iowa, licensed in Iowa (125921) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1639909682
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameJOANNA WENAS WIDJAJACredential: DC
Location Address204 1ST ST STE 111Sergeant Bluff, IA 51054-8532
Mailing Address204 1st St Ste 111Sergeant Bluff, IA 51054-8532 · (712) 823-3127
Phone(712) 301-7537
Sole ProprietorNo
Enumeration DateAugust 5, 2024
Last NPPES UpdateSeptember 20, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
✔ NPI 1639909682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IA · 125921
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.
204 1ST ST STE 111, Sergeant Bluff, IA 51054
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JIWA CHIROPRACTIC & WELLNESS
Chiropractor
204 1ST ST STE 111
SERGEANT BLUFF, IA 51054
Woodbury County (712) 823-3127

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 Joanna Widjaja's NPI number?

The NPI number for Joanna Widjaja is 1639909682. It was assigned to this individual provider in the NPPES registry on August 5, 2024.

Where is Joanna Widjaja located?

Joanna Widjaja practices at 204 1st St Ste 111, Sergeant Bluff, IA 51054. The listed phone number is (712) 301-7537.

What is Joanna Widjaja'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 Joanna Widjaja was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.