Provider Demographics
NPI:1235482332
Name:HARVEY J MARKOVITZ DC, A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:HARVEY J MARKOVITZ DC, A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:J
Authorized Official - Last Name:MARKOVITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:831-515-8429
Mailing Address - Street 1:831 BAY AVE
Mailing Address - Street 2:SUITE 1E
Mailing Address - City:CAPITOLA
Mailing Address - State:CA
Mailing Address - Zip Code:95010-2168
Mailing Address - Country:US
Mailing Address - Phone:831-515-8429
Mailing Address - Fax:
Practice Address - Street 1:831 BAY AVE
Practice Address - Street 2:SUITE 1E
Practice Address - City:CAPITOLA
Practice Address - State:CA
Practice Address - Zip Code:95010-2168
Practice Address - Country:US
Practice Address - Phone:831-515-8429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-26
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC114750111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty