Healthcare Provider Details

I. General information

NPI: 1063718336
Provider Name (Legal Business Name): DR MARK WEBB & ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2011
Last Update Date: 01/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 E 10TH ST
JEFFERSONVILLE IN
47130-3806
US

IV. Provider business mailing address

700 E 10TH ST
JEFFERSONVILLE IN
47130-3806
US

V. Phone/Fax

Practice location:
  • Phone: 812-283-4357
  • Fax: 812-283-5037
Mailing address:
  • Phone: 812-283-4357
  • Fax: 812-283-5037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08001699A
License Number StateIN

VIII. Authorized Official

Name: DR. MARK ANDREW WEBB
Title or Position: DOCTOR OF CHIROPRACTIC/PRESIDENT
Credential: D.C.
Phone: 812-283-4357