Holton-Brown, Monisa Suzanne
Holton-Brown, Monisa Suzanne is an individual health care provider with primary practice located at 2500 18Th St Ste 102, Bettendorf IA 52722-3282. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Holton-Brown, Monisa Suzanne can be contacted via phone (309) 283-7316.Contact Information
Primary practice address
2500 18Th St Ste 102
Bettendorf IA 52722-3282
Phone: (309) 283-7316
Fax: (309) 283-7315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 06431 | Iowa |
Profile Details
| NPI number | 1992750202 |
|---|---|
| LBN Legal business name | Holton-Brown, Monisa Suzanne |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Jul 29th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992750202 | NPPES |
| Illinois | Other | 0008115279 | BLUE CROSS BLUE SHIELD IL |
| Illinois | MEDICAID | 038009444 | BLUE CROSS BLUE SHIELD IL |
| Illinois | Other | 06988 | BLUE CROSS BLUE SHIELD IL |
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