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NPI Code Detail

MEDICARE: MARK THERIAULT D.C.

MEDICARE:   MARK  THERIAULT  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
1111N00000XChiropractor2346NC

General Provider Information

NPI Number : 1437159746
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK THERIAULT D.C.
Provider Business Mailing Address
First Line : PO BOX 1375
Second Line :
City : DENVER
State : NC
Zip : 28037-2004
Country : US
Telephone Number : 704-489-2273
Fax Number : 704-489-2274
Provider Business Practice Location Address
First Line : 1895 N HIGHWAY 16
Second Line :
City : DENVER
State : NC
Zip : 28037-8642
Country : US
Telephone Number : 704-489-2273
Fax Number : 704-489-2274
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 03/22/2010

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Directions to “ MARK THERIAULT D.C.” Practice Location

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