Mark Kevin Lique in Haverhill - Chiropractor
Mark Kevin Lique - NPI 1659479509
Mark Kevin Lique is a Chiropractor in Haverhill, Massachusetts. Mark Kevin Lique practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Mark Kevin Lique is 1659479509. The last update date is 2019-02-21.
Mark Kevin Lique's current location address is 606 Broadway, Haverhill, Massachusetts. You can contact this provider via phone number 9785212225 and fax number 9785212678. The mailing address for Mark Kevin Lique is 606 Broadway, Haverhill, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark Kevin Lique |
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Address | 606 Broadway, Haverhill, Massachusetts |
Phone Number | 9785212225 |
Fax Number | 9785212678 |
Sole Proprietor | N |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1659479509 |
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Provider Enumeration Date | 2006-09-21 |
Last Updated Date | 2019-02-21 |
Provider Mailing Address Detail
Address | 606 Broadway |
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City | Haverhill |
State | Massachusetts (MA) |
Post Code | 18321206 |
Phone Number | 9785212225 |
Fax Number | 9785212678 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 747-0905 |
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 |
---|---|---|---|
2952014 | NH | CIGNA | |
05Y009056NH01 | NH | ANTHEM BCBS | |
AA53239 | NH | HARVARD PILGRIM |
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What is the Mark Kevin Lique's unique identification number?
The Mark Kevin Lique has been assigned the NPI (National Provider Identifier) Number 1659479509 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 physical location address of Mark Kevin Lique?
The Mark Kevin Lique is physically situated at 606 Broadway, in the city of Haverhill, state of MA, with the postal code 18321206.
What is Mark Kevin Lique's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark Kevin Lique's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did Mark Kevin Lique receive its 1659479509 assignment from the Centers for Medicare & Medicaid Services?
The Mark Kevin Lique was assigned its 1659479509 on 2006-09-21, 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 details pertaining to Mark Kevin Lique last refreshed?
The information related to the Mark Kevin Lique, including its address, specialty, and other relevant details, was last updated on 2019-02-21.
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