MEDICARE: DR. MARK ALAN PARSONS D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	A06130	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10881201	OTHER	IA	CAQH
2	46554	OTHER	IA	WELLMARK BC/BS
3	624912	OTHER	IA	ACN
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184648107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK ALAN PARSONS D.C.

Provider Business Mailing Address
First Line	:	1601 S WASHINGTON BLVD
Second Line	:
City	:	CAMANCHE
State	:	IA
Zip	:	52730-1711
Country	:	US
Telephone Number	:	563-259-1314
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 S WASHINGTON BLVD
Second Line	:
City	:	CAMANCHE
State	:	IA
Zip	:	52730-1711
Country	:	US
Telephone Number	:	563-259-1314
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	07/08/2007

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