Provider Demographics
NPI:1366410987
Name:WOODS, NANCY LYNN (DC)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:LYNN
Last Name:WOODS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:ESTHERVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:51334-2226
Mailing Address - Country:US
Mailing Address - Phone:712-362-4276
Mailing Address - Fax:712-362-4278
Practice Address - Street 1:10 S 5TH ST
Practice Address - Street 2:
Practice Address - City:ESTHERVILLE
Practice Address - State:IA
Practice Address - Zip Code:51334-2226
Practice Address - Country:US
Practice Address - Phone:712-362-4276
Practice Address - Fax:712-362-4278
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-09
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA6273111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1436204Medicaid
36396OtherWELLMARK
U93063Medicare UPIN
IAI12753Medicare ID - Type Unspecified