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NPI Code Detail

MEDICARE: MR. MARC RYAN HOUSER

MEDICARE:  MR. MARC RYAN HOUSER
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
1104100000XSocial Worker14708KS

General Provider Information

NPI Number : 1760315006
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MARC RYAN HOUSER
Provider Business Mailing Address
First Line : 2619 W 6TH ST STE C
Second Line :
City : LAWRENCE
State : KS
Zip : 66049-4300
Country : US
Telephone Number : 785-615-1995
Fax Number :
Provider Business Practice Location Address
First Line : 2619 W 6TH ST STE C
Second Line :
City : LAWRENCE
State : KS
Zip : 66049-4300
Country : US
Telephone Number : 785-615-1995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “ MR. MARC RYAN HOUSER ” Practice Location

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