Provider Demographics
NPI:1083732077
Name:MESSINGER, MARK STEPHEN (DC)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:STEPHEN
Last Name:MESSINGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:MARK
Other - Middle Name:STEPHEN
Other - Last Name:MESSINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:93 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01832-5569
Mailing Address - Country:US
Mailing Address - Phone:978-374-0700
Mailing Address - Fax:978-374-6052
Practice Address - Street 1:93 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01832-5569
Practice Address - Country:US
Practice Address - Phone:978-374-0700
Practice Address - Fax:978-374-6052
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2011111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP710921OtherOXFORD
MAY39508OtherBLUE CROSS GROUP #
MA0950554OtherAETNA PROVIDER NUMBER
MAY36503OtherBLUE CROSS OF MA.
MA792200OtherTUFTS PROVIDER NUMBER
MA97974501OtherNETWORK HEALTH
MA4400325OtherUNITED HEALTH CARE
MA0017861OtherNEIGHBORHOOD HEALTH
MA1611321Medicaid
MA351302OtherHARVARD PILGRIM PROVIDER
MA2682204OtherCIGNA
MAY45152Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
MA0950554OtherAETNA PROVIDER NUMBER