Individual
DR. BRADLEY A CHICOINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1501 NEBRASKA ST, SIOUX CITY, IA 51105-1204
(712) 252-0633
(712) 252-3904
Mailing address
1501 NEBRASKA ST, SIOUX CITY, IA 51105-1204
(712) 252-0633
(712) 252-3904
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04520
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0157800
—
IA
01
—
29618
WELLMARK BCBS
IA
Enumeration date
11/25/2005
Last updated
07/08/2007
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