Individual
DR. BRETT ALLEN WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
301 S JACKSON, MCLEANSBORO, IL 62859
(618) 643-3833
(618) 643-2494
Mailing address
PO BOX 87, 301 JACKSON, MCLEANSBORO, IL 62859
(618) 643-3833
(618) 643-2494
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008693
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038008693
—
IL
01
—
03923143
BCBS
IL
Enumeration date
10/19/2006
Last updated
07/12/2010
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