Mark William Larsen in Peru - Chiropractor
Mark William Larsen - NPI 1043335078
Mark William Larsen is a Chiropractor in Peru, Indiana. Mark William Larsen practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Mark William Larsen is 1043335078. The last update date is 2007-07-08.
Mark William Larsen's current location address is 7 N Wabash St, Peru, Indiana. You can contact this provider via phone number 7654721127 and fax number 7654725228. The mailing address for Mark William Larsen is 7 N Wabash St, Peru, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark William Larsen |
|---|---|
| Address | 7 N Wabash St, Peru, Indiana |
| Phone Number | 7654721127 |
| Fax Number | 7654725228 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1043335078 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7 N Wabash St |
|---|---|
| City | Peru |
| State | Indiana (IN) |
| Post Code | 469702224 |
| Phone Number | 7654721127 |
| Fax Number | 7654725228 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 08001019A |
|
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 |
|---|---|---|---|
| 92330 | IN | ANTHEM WELLPOINT |
Post Comment/ Review Below
What is the unique identifier code issued to Mark William Larsen by the Centers for Medicare & Medicaid Services?
The Mark William Larsen has been assigned the NPI (National Provider Identifier) 1043335078. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mark William Larsen is physically located?
The Mark William Larsen is physically situated at the following address: 7 N Wabash St, Peru, IN, 469702224.
What is Mark William Larsen's area of expertise and its corresponding taxonomy classification?
The Mark William Larsen's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1043335078 to Mark William Larsen?
The Centers for Medicare & Medicaid Services assigned the 1043335078 to Mark William Larsen on 2007-03-20.
As of what date was the information pertaining to Mark William Larsen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark William Larsen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.