Organization
BIRDSELL CHIROPRACTIC & ACUPUNCTURE CLINIC, CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID R BIRDSELL DC (PRESIDENT)
(309) 764-8821
Entity
Organization
Contact information
Practice address
1201 5TH AVENUE, MOLINE, IL 61265-1331
(309) 764-8821
(309) 757-4773
Mailing address
1201 5TH AVENUE, MOLINE, IL 61265-1331
(309) 764-8821
(309) 757-4773
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8182020
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/07/2006
Last updated
03/20/2008
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