# SHIPMAN CHIROPRACTIC PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SHIPMAN CHIROPRACTIC PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538204425
- **Legal business name:** SHIPMAN CHIROPRACTIC PC
- **Authorized official:** LACY MARIE SKAHILL (CLINIC DIRECTOR)
- **Authorized official phone:** (563) 359-1985

## Contact information

- **Practice address:** 621 E KIMBERLY RD, DAVENPORT, IA 52807-1623
- **Practice address phone:** (563) 359-1985
- **Practice address fax:** (563) 355-2300
- **Mailing address:** 621 E KIMBERLY RD, DAVENPORT, IA 52807-1614
- **Mailing address phone:** (563) 359-1985
- **Mailing address fax:** (563) 355-2300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | IA | Yes |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208D00000X | General Practice Physician | — | IA | — |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 01/31/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0498170 | — | IA |
| 05 | — | 1104778 | — | IA |
| 01 | — | 19257 | BLUE CROSS BLUE SHIELD | IA |