Mark D Whitehead is a Chiropractor in Marion, Illinois. Mark D Whitehead practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Mark D Whitehead is 1902869456. The last update date is 2007-07-08.
Mark D Whitehead's current location address is 2103 W Main St, Marion, Illinois. You can contact this provider via phone number 6189975000. The mailing address for Mark D Whitehead is 2103 W Main St, Marion, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark D Whitehead |
|---|---|
| Address | 2103 W Main St, Marion, Illinois |
| Phone Number | 6189975000 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1902869456 |
|---|---|
| Provider Enumeration Date | 2006-04-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2103 W Main St |
|---|---|
| City | Marion |
| State | Illinois (IL) |
| Post Code | 629591163 |
| Phone Number | 6189975000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100-05426 | IL | BLUECROSS/BLUESHIELD | |
| 43166 | IL | HEALTH ALLIANCE | |
| 179254 | IL | HEALTHLINK PPO |
Post Comment/ Review Below
What is the unique identifier code issued to Mark D Whitehead by the Centers for Medicare & Medicaid Services (CMS)?
The Mark D Whitehead has been assigned the NPI (National Provider Identifier) 1902869456. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Mark D Whitehead?
The Mark D Whitehead is situated at 2103 W Main St, in the city of Marion, state of IL, with the zip code 629591163.
What is Mark D Whitehead's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark D Whitehead is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1902869456 to Mark D Whitehead?
The Centers for Medicare & Medicaid Services assigned the 1902869456 to Mark D Whitehead on 2006-04-07.
As of what date was the information pertaining to Mark D Whitehead, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark D Whitehead, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.