Individual
DR. JOHN THOMAS RADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6035 SHADOWBROOK DR, BETTENDORF, IA 52722-6564
(563) 332-4605
Mailing address
6035 SHADOWBROOK DR, BETTENDORF, IA 52722-6564
(563) 332-4605
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038-004282
IL
111N00000X
Chiropractor
Primary
4784
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18134
BCBS
IA
Enumeration date
03/02/2007
Last updated
10/21/2010
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