MEDICARE: DR. ROBERT P MARKLE 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	RM006985	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00079165	OTHER	MI	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RM006985	OTHER	MI	BLUECARE NETWORK
3	1010003	OTHER	MI	MCLAREN HEALTH ADVANTAGE
4	0991152	OTHER	MI	HEALTH PLUS

General Provider Information

NPI Number	:	1982828539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT P MARKLE D.C.

Provider Business Mailing Address
First Line	:	19 SALZBURG RD
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-3467
Country	:	US
Telephone Number	:	989-684-3200
Fax Number	:	989-684-9436

Provider Business Practice Location Address
First Line	:	19 SALZBURG RD
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-3467
Country	:	US
Telephone Number	:	989-684-3200
Fax Number	:	989-684-9436

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

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	07/08/2007

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