Mark D Paunicka is a Chiropractor in Urbana, Illinois. Mark D Paunicka practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Mark D Paunicka is 1639234404. The last update date is 2011-11-21.
Mark D Paunicka's current location address is 405 N Broadway Ave, Urbana, Illinois. You can contact this provider via phone number 2173673333 and fax number 2173673190. The mailing address for Mark D Paunicka is 405 N Broadway Ave, Urbana, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark D Paunicka |
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Address | 405 N Broadway Ave, Urbana, Illinois |
Phone Number | 2173673333 |
Fax Number | 2173673190 |
Sole Proprietor | Y |
Credentials | DC |
NPI Number Detail
NPI Number | 1639234404 |
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Provider Enumeration Date | 2006-12-22 |
Last Updated Date | 2011-11-21 |
Provider Mailing Address Detail
Address | 405 N Broadway Ave |
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City | Urbana |
State | Illinois (IL) |
Post Code | 618012746 |
Phone Number | 2173673333 |
Fax Number | 2173673190 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 38003818 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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38003818 | IL | -- |
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What is the Mark D Paunicka's unique identification number?
The Mark D Paunicka has been assigned the NPI (National Provider Identifier) Number 1639234404 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Mark D Paunicka is physically located?
The Mark D Paunicka is physically situated at the following address: 405 N Broadway Ave, Urbana, IL, 618012746.
What is Mark D Paunicka's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark D Paunicka's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639234404 to Mark D Paunicka?
The Centers for Medicare & Medicaid Services originally issued the 1639234404 to Mark D Paunicka on 2006-12-22.
As of what date was the information regarding Mark D Paunicka, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark D Paunicka, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-11-21.