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NPI Code Detail

MEDICARE: MARK BINGEL DC

MEDICARE: MARK BINGEL 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
1111N00000XChiropractorCH60406528WA

General Provider Information

NPI Number : 1568899573
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK BINGEL DC
Provider Business Mailing Address
First Line : PO BOX 656
Second Line :
City : RAINIER
State : WA
Zip : 98576-0656
Country : US
Telephone Number : 360-400-3151
Fax Number :
Provider Business Practice Location Address
First Line : 503 1ST ST S
Second Line :
City : YELM
State : WA
Zip : 98597-7634
Country : US
Telephone Number : 360-400-3151
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2013
Last Update Date : 04/16/2014

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Directions to “ MARK BINGEL DC” Practice Location

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