Tiffany Zimmerman Dc Pc | |
1715 5th Ave, Moline, IL 61265 | |
(309) 762-1050 | |
(309) 762-1064 |
Full Name | Tiffany Zimmerman Dc Pc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 1715 5th Ave, 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 |
---|---|---|---|
1306085428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038010770 (Illinois) | Primary |
Provider Name | Tiffany Ann Zimmerman |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1861522195 PECOS PAC ID: 2062513534 Enrollment ID: I20070727000426 |
Mailing Address | Practice Location Address |
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Tiffany Zimmerman Dc Pc 1715 5th Ave, Moline, IL 61265 Ph: (309) 762-1050 | Tiffany Zimmerman Dc Pc 1715 5th Ave, Moline, IL 61265 Ph: (309) 762-1050 |
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