Provider Demographics
NPI:1578683686
Name:AKERS, MARK S (DC)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:S
Last Name:AKERS
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 1:10576 W ALAMEDA AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-2600
Mailing Address - Country:US
Mailing Address - Phone:303-969-0884
Mailing Address - Fax:303-969-0019
Practice Address - Street 1:10576 W ALAMEDA AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-2600
Practice Address - Country:US
Practice Address - Phone:303-969-0884
Practice Address - Fax:303-969-0019
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3988111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
COV07061Medicare UPIN
CO803654Medicare ID - Type Unspecified