Provider Demographics
NPI:1861755878
Name:WOOLEVER, ANTHONY W (DC)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:W
Last Name:WOOLEVER
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 1:1004 STATE ST
Mailing Address - Street 2:STE C
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-4856
Mailing Address - Country:US
Mailing Address - Phone:563-449-6269
Mailing Address - Fax:734-468-6269
Practice Address - Street 1:1004 STATE ST
Practice Address - Street 2:STE C
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-4856
Practice Address - Country:US
Practice Address - Phone:563-449-6269
Practice Address - Fax:734-468-6269
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA07411111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor