Mark Steven Balderston in Shawnee - Sports Physician
Mark Steven Balderston - NPI 1629061858
Mark Steven Balderston is a Sports Physician in Shawnee, Kansas. Mark Steven Balderston practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Mark Steven Balderston is 1629061858. The last update date is 2023-08-02.
Mark Steven Balderston's current location address is 17202 Midland Dr., Shawnee, Kansas. You can contact this provider via phone number 9136318888 and fax number 9132688390. The mailing address for Mark Steven Balderston is 17202 Midland Dr., Shawnee, Kansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark Steven Balderston |
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Address | 17202 Midland Dr., Shawnee, Kansas |
Phone Number | 9136318888 |
Fax Number | 9132688390 |
Sole Proprietor | N |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1629061858 |
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Provider Enumeration Date | 2005-08-23 |
Last Updated Date | 2023-08-02 |
Provider Mailing Address Detail
Address | 17202 Midland Dr. |
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City | Shawnee |
State | Kansas (KS) |
Post Code | 662178901 |
Phone Number | 9136318888 |
Fax Number | 9132688390 |
Provider's Primary Taxonomy Detail
Speciality | Sports Physician |
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Taxonomy | 111Ns0005X |
Licence No | 01-03482 |
Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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What is the unique 10-digit identification code issued to Mark Steven Balderston by the Centers for Medicare & Medicaid Services?
The Mark Steven Balderston has been assigned the NPI (National Provider Identifier) 1629061858 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Mark Steven Balderston's facilities are geographically located?
The facilities of Mark Steven Balderston are physically situated at the following location: 17202 Midland Dr., Shawnee, KS, 662178901.
What is Mark Steven Balderston's area of expertise and its corresponding taxonomy classification?
The Mark Steven Balderston's field of specialization is Sports Physician, and it falls under the taxonomy code 111Ns0005X, which categorizes healthcare providers based on their areas of practice.
When was the Mark Steven Balderston's 1629061858 issued?
The Mark Steven Balderston's 1629061858 was issued on 2005-08-23.
As of what date were the details related to Mark Steven Balderston most recently updated or revised?
The information pertaining to Mark Steven Balderston, including its address, specialty, and other relevant details, was last updated or revised on 2023-08-02.