Provider Demographics
NPI:1457351868
Name:NEUMAN, MARK S (DC)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:S
Last Name:NEUMAN
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 1:2501 CAMPUS DR
Mailing Address - Street 2:SUITE #300
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846-3791
Mailing Address - Country:US
Mailing Address - Phone:620-275-6080
Mailing Address - Fax:620-275-6080
Practice Address - Street 1:2501 CAMPUS DR
Practice Address - Street 2:SUITE #300
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-3791
Practice Address - Country:US
Practice Address - Phone:620-275-6080
Practice Address - Fax:620-275-6080
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-28
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSC3531111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS059982OtherBLUE CROSS BLUE SHIELD N
KS059982OtherBLUE CROSS BLUE SHIELD N