Marc Karl Mavis is a Chiropractor in St Joseph, Michigan. Marc Karl Mavis practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Marc Karl Mavis is 1215014139. The last update date is 2011-11-17.
Marc Karl Mavis's current location address is 2550 Niles Rd, St Joseph, Michigan. You can contact this provider via phone number 2694295727 and fax number 2694295766. The mailing address for Marc Karl Mavis is 2550 Niles Rd, St Joseph, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marc Karl Mavis |
|---|---|
| Address | 2550 Niles Rd, St Joseph, Michigan |
| Phone Number | 2694295727 |
| Fax Number | 2694295766 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1215014139 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2011-11-17 |
Provider Mailing Address Detail
| Address | 2550 Niles Rd |
|---|---|
| City | St Joseph |
| State | Michigan (MI) |
| Post Code | 49085 |
| Phone Number | 2694295727 |
| Fax Number | 2694295766 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2301004976 |
|
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 |
|---|---|---|---|
| 950A150130 | MI | BCBS MI | |
| 2301004976 | MI | MI LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Marc Karl Mavis by the Centers for Medicare & Medicaid Services?
The Marc Karl Mavis has been issued the NPI (National Provider Identifier) 1215014139 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Marc Karl Mavis is physically located?
The Marc Karl Mavis is situated at the following address: 2550 Niles Rd, St Joseph, MI 49085.
What is the area of specialization for Marc Karl Mavis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Marc Karl Mavis is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
When did the Marc Karl Mavis receive its 1215014139?
The Marc Karl Mavis was issued its 1215014139 on 2006-11-01, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Marc Karl Mavis last refreshed?
The information related to the Marc Karl Mavis, including its address, specialty, and other relevant details, was last updated on 2011-11-17.