Provider Demographics
NPI:1730112673
Name:MARKLE CHIROPRACTIC PC
Entity Type:Organization
Organization Name:MARKLE CHIROPRACTIC PC
Other - Org Name:SALZBURG CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:MARKLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:989-684-3200
Mailing Address - Street 1:19 SALZBURG RD
Mailing Address - Street 2:SALZBURG CHIROPRACTIC
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706
Mailing Address - Country:US
Mailing Address - Phone:989-684-3200
Mailing Address - Fax:989-684-9436
Practice Address - Street 1:19 SALZBURG RD
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706
Practice Address - Country:US
Practice Address - Phone:989-684-3200
Practice Address - Fax:989-684-9436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIRM006985111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0Z95003OtherMR
DA9424OtherRAILROAD MEDICARE GROUP N
RM006985OtherBC NETWORK
1010003OtherMCLAREN
MI0991152OtherHEALTH PLUS
ON88200001OtherMR
RM006985OtherBC
ON88200OtherMR GROUP NO
P00079165OtherRAILROAD MEDICARE
1010003OtherMCLAREN
ON88200001OtherMR
RM006985OtherBC NETWORK