Provider Demographics
NPI:1427189315
Name:SPEARS, MARK T (DC)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:T
Last Name:SPEARS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7225 COLERAIN AVE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-5329
Mailing Address - Country:US
Mailing Address - Phone:513-923-9300
Mailing Address - Fax:513-923-4315
Practice Address - Street 1:7225 COLERAIN AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-5329
Practice Address - Country:US
Practice Address - Phone:513-923-9300
Practice Address - Fax:513-923-4315
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1824111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor