Doctor Name: | DR. CLIFTON DAVID BETHEL |
NPI Number: | 1447250956 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C., M.S. |
License Number: | 038008347 |
Business Practice Address: | 4557 Utica Ridge Rd Bettendorf, IA - 527221641 |
Business Phone Number: | 5633591985 |
Business Fax Number: | 5633552300 |
Mailing Address: | 4557 Utica Ridge Rd, BETTENDORF |
State: | IA |
Postal Code: | 527221641 |
Phone Number: | 5633591985 |
Fax Number: | 5633552300 |
NPI Enumeration Date: | 07/26/2005 |
NPI Last Update Date: | 10/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/21/2006 |
NPI Reactivation Date: | 07/31/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 038008347 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |