Mark Elliot Watters in Mission Viejo - Chiropractor
Mark Elliot Watters - NPI 1386742625
Mark Elliot Watters is a Chiropractor in Mission Viejo, California. Mark Elliot Watters practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Mark Elliot Watters is 1386742625. The last update date is 2009-03-25.
Mark Elliot Watters's current location address is 25571 Jeronimo Rd, Mission Viejo, California. You can contact this provider via phone number 9497686111 and fax number 9497686104. The mailing address for Mark Elliot Watters is 25571 Jeronimo Rd, Mission Viejo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Elliot Watters |
|---|---|
| Address | 25571 Jeronimo Rd, Mission Viejo, California |
| Phone Number | 9497686111 |
| Fax Number | 9497686104 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1386742625 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2009-03-25 |
Provider Mailing Address Detail
| Address | 25571 Jeronimo Rd |
|---|---|
| City | Mission Viejo |
| State | California (CA) |
| Post Code | 92691 |
| Phone Number | 9497686111 |
| Fax Number | 9497686104 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 14805 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the unique 10-digit identification code issued to Mark Elliot Watters by the Centers for Medicare & Medicaid Services?
The Mark Elliot Watters has been assigned the NPI (National Provider Identifier) 1386742625 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Mark Elliot Watters is physically located?
The Mark Elliot Watters is physically situated at the following address: 25571 Jeronimo Rd, Mission Viejo, CA, 92691.
What is Mark Elliot Watters's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark Elliot Watters is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.
On what date did Mark Elliot Watters receive its 1386742625 assignment from the Centers for Medicare & Medicaid Services?
The Mark Elliot Watters was assigned its 1386742625 on 2006-09-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Mark Elliot Watters's details last updated?
The information pertaining to the Mark Elliot Watters, including its address, specialty, and other details, was most recently updated on 2009-03-25.
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