Individual provider · Type 1 NPI
William J. Theisen, DC
Chiropractor · Moline, IL
NPI number
1861635856
Active
Practice location
3836 15th Street C
Moline, IL 61265-6217
Mailing address
PO Box 361
Clinton, IA 52733-0361
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038.011341 (IL) |
Chiropractor: 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.
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About NPI 1861635856
William J. Theisen, DC's National Provider Identifier is 1861635856, issued on Apr 7, 2009. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Moline, IL. The record was last updated on Oct 29, 2019.