100 Chiro Powell Pllc | |
4810 Elmore Ave Ste H, Davenport, IA 52807-3423 | |
(563) 424-1020 | |
Not Available |
Full Name | 100 Chiro Powell Pllc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 4810 Elmore Ave Ste H, Davenport, Iowa |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942825468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Jolene Melissa Powell |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1235486515 PECOS PAC ID: 6204074214 Enrollment ID: I20130604000236 |
Mailing Address | Practice Location Address |
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100 Chiro Powell Pllc 4810 Elmore Ave Ste H, Davenport, IA 52807-3423 Ph: (563) 424-1020 | 100 Chiro Powell Pllc 4810 Elmore Ave Ste H, Davenport, IA 52807-3423 Ph: (563) 424-1020 |
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