Individual
DR. MARK HOLTSCHLAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2000 JEFFERSON, QUINCY, IL 62301-5655
(217) 228-2040
(217) 228-2042
Mailing address
2000 JEFFERSON, QUINCY, IL 62301-5655
(217) 228-2040
(217) 228-2042
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
133N00000X
Nutritionist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148657
HEALTHLINK
—
01
—
182009
BLUE CROSS BLUE SHIELD
—
Enumeration date
01/03/2007
Last updated
04/09/2008
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