Individual
ELIZABETH B. MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1000 BRADY ST, DAVENPORT, IA 52803-5214
(563) 884-5750
Mailing address
1000 BRADY ST, DAVENPORT, IA 52803-5214
(563) 884-5750
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004985
IA
111N00000X
Chiropractor
038005057
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48157
BLUE CROSS BLUE SHIELD IA
IA
Enumeration date
03/14/2006
Last updated
03/19/2014
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