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Individual
DR. NOEL COWART DAVIS JR.
Active
Individual
DR. NOEL COWART DAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-006330
IL
111N00000X
Chiropractor
A05844
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002782002
BCBS
IL
05
—
0767558
—
IA
01
—
253414
MIDLANDS
IA
01
—
36-3862007
FEIN
—
01
—
37-1243600
FED ID
IL
01
—
53643
BCBS WELLMARK
IA
01
—
9484203
PHCS
IA
Enumeration date
04/06/2007
Last updated
05/15/2014
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