Individual
DR. BARBARA A MANSHOLT
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) 884-5801
(563) 884-5731
Mailing address
1000 BRADY ST, DAVENPORT, IA 52803-5214
(563) 884-5801
(563) 884-5731
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038-007740
IL
111N00000X
Chiropractor
Primary
06628
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038007740
—
IL
05
—
1992709505
—
IA
01
—
8106816
BLUE CROSS BLUE SHIELD
IL
01
—
IL0101
JOHN DEERE
IL
Enumeration date
06/10/2005
Last updated
07/21/2022
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