Provider Demographics
NPI:1801230107
Name:BARCLAY, CHAD H (DC)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:H
Last Name:BARCLAY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4110 BLACKHAWK RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ROCK ISLAND
Mailing Address - State:IL
Mailing Address - Zip Code:61201-7093
Mailing Address - Country:US
Mailing Address - Phone:563-271-8494
Mailing Address - Fax:
Practice Address - Street 1:4110 BLACKHAWK RD
Practice Address - Street 2:SUITE 1
Practice Address - City:ROCK ISLAND
Practice Address - State:IL
Practice Address - Zip Code:61201-7093
Practice Address - Country:US
Practice Address - Phone:309-786-0883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-17
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007624111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor