Provider Demographics
NPI:1134225329
Name:HOWARTER, MARK (DC)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:
Last Name:HOWARTER
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 1:3320 CLINTON PARKWAY CT STE 100
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66047-2650
Mailing Address - Country:US
Mailing Address - Phone:785-838-3333
Mailing Address - Fax:866-519-0369
Practice Address - Street 1:3320 CLINTON PARKWAY CT STE 100
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66047
Practice Address - Country:US
Practice Address - Phone:785-838-3333
Practice Address - Fax:866-519-0369
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4633111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS060414OtherBCBS
KS060414OtherBCBS
KS060414Medicare ID - Type Unspecified