MEDICARE: DR. MARK E. SWIGERT 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	1112	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	26-1195778	OTHER	AL	TAX ID

General Provider Information

NPI Number	:	1164606224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK E. SWIGERT D.C.

Provider Business Mailing Address
First Line	:	30941 MILL LN STE B
Second Line	:
City	:	SPANISH FORT
State	:	AL
Zip	:	36527-5457
Country	:	US
Telephone Number	:	251-459-0098
Fax Number	:

Provider Business Practice Location Address
First Line	:	30941 MILL LN STE B
Second Line	:
City	:	SPANISH FORT
State	:	AL
Zip	:	36527-5457
Country	:	US
Telephone Number	:	251-459-0098
Fax Number	:

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

Provider Enumeration Date	:	12/26/2007
Last Update Date	:	08/28/2025

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