Organization
WHOLISTIC FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAMEIN KAY CLARK-WITTER D.C. (DOCTOR)
(563) 344-4926
Entity
Organization
Contact information
Practice address
1749 E 54TH ST, DAVENPORT, IA 52807-2769
(563) 344-4926
(563) 344-8759
Mailing address
1749 E 54TH ST, DAVENPORT, IA 52807-2769
(563) 344-4926
(563) 344-8759
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06365
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0239160
—
IA
01
—
24142
BCBS
IA
Enumeration date
09/30/2009
Last updated
11/05/2009
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