Provider Demographics
NPI:1043283740
Name:WALSH, FRANCES (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:
Last Name:WALSH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1704 DAVENPORT AVE
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52803-4342
Mailing Address - Country:US
Mailing Address - Phone:563-349-5553
Mailing Address - Fax:
Practice Address - Street 1:1704 DAVENPORT AVE
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52803-4342
Practice Address - Country:US
Practice Address - Phone:563-349-5553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-12
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06729111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA39540OtherBCBS NONPARTICIPATING PIN