Bethel, Clifton David

Bethel, Clifton David is an sole proprietor health care provider with primary practice located at 2303 E 53Rd St Ste 3 , Davenport IA 52807-2701. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bethel, Clifton David can be contacted via phone (563) 344-0707.

Contact Information

Primary practice address
2303 E 53Rd St Ste 3 Davenport IA 52807-2701
Phone: (563) 344-0707
Fax: (563) 344-6769
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038008347 Illinois
Chiropractic Providers / Chiropractor 111N00000X CH10008 Florida
Chiropractic Providers / Chiropractor 111N00000X 007048 Iowa

Profile Details

NPI number 1447250956
LBN Legal business name Bethel, Clifton David
Credentials D.C., M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2005
Last updated Mar 20th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447250956 NPPES
Illinois Other 08122452 BLUE CROSS/BLUE SHIELD

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