MEDICARE: DR. MARK A. DUMAS 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	1223	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	350018432	OTHER	OH	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689605990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK A. DUMAS D.C.

Provider Business Mailing Address
First Line	:	723 PHILLIPS AVE
Second Line	:	BLDG C.
City	:	TOLEDO
State	:	OH
Zip	:	43612-1300
Country	:	US
Telephone Number	:	419-478-0303
Fax Number	:	419-478-0430

Provider Business Practice Location Address
First Line	:	723 PHILLIPS AVE
Second Line	:	BLDG C.
City	:	TOLEDO
State	:	OH
Zip	:	43612-1300
Country	:	US
Telephone Number	:	419-478-0303
Fax Number	:	419-478-0430

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

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	05/23/2012

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