| Birdsell Chiropractic & Acupuncture Clinic, Chartered | |
|
1201 5th Avenue, Moline, IL 61265-1331 | |
| (309) 764-8821 | |
| (309) 757-4773 |
| Full Name | Birdsell Chiropractic & Acupuncture Clinic, Chartered |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1201 5th Avenue, Moline, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831292457 | NPI | - | NPPES |
| 8182020 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (Illinois) | Primary |
| Provider Name | David R Birdsell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1568565182 PECOS PAC ID: 3072601210 Enrollment ID: I20071121000351 |
| Provider Name | Grady M Birdsell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366545576 PECOS PAC ID: 5890883037 Enrollment ID: I20071121000362 |
| Provider Name | Melissa K Birdsell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1265721989 PECOS PAC ID: 2466624713 Enrollment ID: I20111010000043 |
| Mailing Address | Practice Location Address |
|---|---|
| Birdsell Chiropractic & Acupuncture Clinic, Chartered 1201 5th Avenue, Moline, IL 61265-1331 Ph: (309) 764-8821 | Birdsell Chiropractic & Acupuncture Clinic, Chartered 1201 5th Avenue, Moline, IL 61265-1331 Ph: (309) 764-8821 |
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