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Organization
SHIPMAN CHIROPRACTIC & WELLNESS CLINIC LLC
Active
Organization
SHIPMAN CHIROPRACTIC & WELLNESS CLINIC LLC
Active
Parent organization
SHIPMAN CHIROPRACTIC & WELLNESS CLINIC LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHIPMAN CHIROPRACTIC & WELLNESS CLINIC LLC
Authorized official
LACY M SKAHILL (CLINIC DIRECTOR)
(563) 359-1985
Entity
Organization
Contact information
Practice address
4557 UTICA RIDGE RD, BETTENDORF, IA 52722-1641
(563) 359-1985
(563) 355-2300
Mailing address
4557 UTICA RIDGE RD, BETTENDORF, IA 52722-1641
(563) 359-1985
(563) 355-2300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0498170
—
IA
05
—
1104778
—
IA
01
—
19257
BLUE CROSS BLUE SHEILD
IA
01
—
I9004
MEDICARE PIN
IA
01
—
U45391
MEDICARE UPIN
IA
Enumeration date
11/08/2019
Last updated
11/08/2019
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