MEDICARE: JAMES BENSON MARKER DC

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	8070	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	53916	OTHER	BCBS
2	P00004532	OTHER	MC RAILRD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	109353	OTHER	AMERIGROUP
5	280184	OTHER	AVMED

General Provider Information

NPI Number	:	1770561557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES BENSON MARKER DC

Provider Business Mailing Address
First Line	:	2212 CLEVELAND AVENUE
Second Line	:
City	:	FT MYERS
State	:	FL
Zip	:	33901
Country	:	US
Telephone Number	:	239-334-6418
Fax Number	:	239-334-7081

Provider Business Practice Location Address
First Line	:	2212 CLEVELAND AVE
Second Line	:
City	:	FT MYERS
State	:	FL
Zip	:	33901
Country	:	US
Telephone Number	:	239-334-6418
Fax Number	:	239-334-7081

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

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	11/04/2010

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Directions to “ JAMES BENSON MARKER DC” Practice Location

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