Contract Details
Facility name
2 Docs Chiropractic
Provider ID
P000004360
NPI
1366534638
Tax ID
371480976
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
216 East 50th St
Davenport, IA 52806
United States
County
Scott
Phone
5633917246 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address