Mark A. Havertape P.C.

LBN: Mark A. Havertape P.C.
Mark A. Havertape P.C. is an health care organization with primary practice located at 3804 1St Ave Ne , Cedar Rapids IA 52402-5603. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Mark A. Havertape P.C. can be contacted via phone (319) 364-6387, or through Havertape, Mark Allan via phone (319) 364-6387.

Contact Information

Primary practice address
3804 1St Ave Ne Cedar Rapids IA 52402-5603
Phone: (319) 364-6387
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Havertape, Mark Allan Doctor of Chiropractic (DC)
Phone: (319) 364-6387

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X A05832 Iowa

Profile Details

NPI number 1831297472
LBN Legal business name Mark A. Havertape P.C.
DBA Doing business as
Authorized official Havertape, Mark Allan Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831297472 NPPES
Iowa MEDICAID 0125369

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