Provider Demographics
NPI:1770571366
Name:DUNCAN, MARC N (DC)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:N
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ANAMOSA
Mailing Address - State:IA
Mailing Address - Zip Code:52205-1866
Mailing Address - Country:US
Mailing Address - Phone:319-462-3120
Mailing Address - Fax:319-462-3254
Practice Address - Street 1:405 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ANAMOSA
Practice Address - State:IA
Practice Address - Zip Code:52205-1866
Practice Address - Country:US
Practice Address - Phone:319-462-3120
Practice Address - Fax:319-462-3254
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-09
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05664111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1090100Medicaid
U35933Medicare UPIN
IA1090100Medicaid