| Wayne Davis Chiropractic Inc | |
|
1715 5th Ave A, Moline, IL 61265 | |
| (563) 650-4169 | |
| Not Available |
| Full Name | Wayne Davis Chiropractic Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1715 5th Ave A, 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 |
|---|---|---|---|
| 1447559935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038.011236 (Illinois) | Primary |
| Provider Name | Wayne B Davis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376716654 PECOS PAC ID: 4486724242 Enrollment ID: I20110426000166 |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne Davis Chiropractic Inc 1715 5th Ave A, Moline, IL 61265 Ph: (563) 650-4169 | Wayne Davis Chiropractic Inc 1715 5th Ave A, Moline, IL 61265 Ph: (563) 650-4169 |
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