Provider Demographics
NPI:1629203674
Name:MARXAN CONSULTING, INC.
Entity Type:Organization
Organization Name:MARXAN CONSULTING, INC.
Other - Org Name:SKS CHIROPRACTIC NETWORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:813-854-4172
Mailing Address - Street 1:8618 CARA PARK WAY
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33635-1633
Mailing Address - Country:US
Mailing Address - Phone:813-854-4172
Mailing Address - Fax:727-232-0129
Practice Address - Street 1:8618 CARA PARK WAY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33635-1633
Practice Address - Country:US
Practice Address - Phone:813-854-4172
Practice Address - Fax:727-232-0129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-20
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty