Ditzenberger, Mark R
Ditzenberger, Mark R is an individual health care provider with primary practice located at 701 N. 7 Highway Suite B, Blue Springs MO 64014-2436. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ditzenberger, Mark R can be contacted via phone (816) 224-6200.Contact Information
Primary practice address
701 N. 7 Highway Suite B
Blue Springs MO 64014-2436
Phone: (816) 224-6200
Fax: (816) 224-2788
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 38010718 | Illinois |
Profile Details
| NPI number | 1508894692 |
|---|---|
| LBN Legal business name | Ditzenberger, Mark R |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Dec 10th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508894692 | NPPES |
| Illinois | Other | 08220357 | BCBS OF IL |
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