MEDICARE: MARKER CHIROPRACTIC ASSOCIATES INC.

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

General Provider Information

NPI Number	:	1902087844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARKER CHIROPRACTIC ASSOCIATES INC.

Provider Business Mailing Address
First Line	:	2212 CLEVELAND AVE
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-3501
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	:	FORT MYERS
State	:	FL
Zip	:	33901-3501
Country	:	US
Telephone Number	:	239-334-6418
Fax Number	:	239-334-7081

Authorized Official
Title or Position	:	DOCTOR OF CHIROPRACTIC
Name	:	DR. JAMES BENSON MARKER
Credential	:	DC
Telephone Number	:	239-334-6418

Provider Enumeration Date	:	11/20/2007
Last Update Date	:	12/02/2010

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