Provider Demographics
NPI:1902087844
Name:MARKER CHIROPRACTIC ASSOCIATES INC.
Entity Type:Organization
Organization Name:MARKER CHIROPRACTIC ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:BENSON
Authorized Official - Last Name:MARKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:239-334-6418
Mailing Address - Street 1:2212 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-3501
Mailing Address - Country:US
Mailing Address - Phone:239-334-6418
Mailing Address - Fax:239-334-7081
Practice Address - Street 1:2212 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33901-3501
Practice Address - Country:US
Practice Address - Phone:239-334-6418
Practice Address - Fax:239-334-7081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-20
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8070111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK2197Medicare PIN