Provider Demographics
NPI:1881682540
Name:ANDERSON-DOOLEY, MARIA (DC)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:
Last Name:ANDERSON-DOOLEY
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 1:5313 JUDGE RD
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-1178
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2001 52ND AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:MOLINE
Practice Address - State:IL
Practice Address - Zip Code:61265-6368
Practice Address - Country:US
Practice Address - Phone:309-764-4901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA06031111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA41097OtherBLUE CROSS BLUE SHIELD
IA41097OtherBLUE CROSS BLUE SHIELD
IAU67931Medicare UPIN