Provider Demographics
NPI:1982767232
Name:ESLINGER, MARK MONROE (DC)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:MONROE
Last Name:ESLINGER
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 1:1301 EAST FRONT AVE
Mailing Address - Street 2:
Mailing Address - City:BISMARK
Mailing Address - State:ND
Mailing Address - Zip Code:58504-6061
Mailing Address - Country:US
Mailing Address - Phone:701-221-2480
Mailing Address - Fax:
Practice Address - Street 1:1301 EAST FRONT AVE
Practice Address - Street 2:
Practice Address - City:BISMARK
Practice Address - State:ND
Practice Address - Zip Code:58504-6061
Practice Address - Country:US
Practice Address - Phone:701-221-2480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND615111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U59985Medicare UPIN
13806Medicare ID - Type Unspecified