Mark Allan Havertape in Cedar Rapids - Chiropractor

Mark Allan Havertape - NPI 1881613495

Mark Allan Havertape is a Chiropractor in Cedar Rapids, Iowa. Mark Allan Havertape practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Mark Allan Havertape is 1881613495. The last update date is 2007-07-09.

Mark Allan Havertape's current location address is 3804 1st Ave Ne, Cedar Rapids, Iowa. You can contact this provider via phone number 3193646387. The mailing address for Mark Allan Havertape is 3804 1st Ave Ne, Cedar Rapids, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Allan Havertape
Address 3804 1st Ave Ne, Cedar Rapids, Iowa
Phone Number 3193646387
Fax Number
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1881613495
Provider Enumeration Date 2006-07-18
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 3804 1st Ave Ne
City Cedar Rapids
State Iowa (IA)
Post Code 524025603
Phone Number 3193646387
Fax Number

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No A05832
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
125369 IA --

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FAQs about Mark Allan Havertape

What is the unique 10-digit identifier code assigned to Mark Allan Havertape by the Centers for Medicare & Medicaid Services?

The Mark Allan Havertape has been issued the NPI (National Provider Identifier) 1881613495 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Mark Allan Havertape's facilities are situated?

The facilities of Mark Allan Havertape are physically located at the following address: 3804 1St Ave Ne, Cedar Rapids, IA, 524025603.

What is the Mark Allan Havertape's specialty and taxonomy code?

The Mark Allan Havertape's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.

On what date was the 1881613495 assigned to Mark Allan Havertape?

The Mark Allan Havertape was issued its 1881613495 on 2006-07-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Mark Allan Havertape most recently updated or refreshed?

The details pertaining to the Mark Allan Havertape, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.

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