MRM CHIROPRACTIC LLC NPI 1134374069

NPI Information

NPI: 1134374069
Provider Name: MRM CHIROPRACTIC LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
607 W OAK ST
WEST FRANKFORT, IL
ZIP 62896
Phone: (618) 937-3509
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MRM CHIROPRACTIC LLC is a chiropractor in West Frankfort, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. MRM CHIROPRACTIC LLC NPI is 1134374069. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

607 W OAK ST
WEST FRANKFORT, IL
ZIP 62896-561
Phone: (618) 937-3509
Fax: (618) 937-3500

The provider's authorized official is Martin R. Moffett .
The authorized official title is Sole Member and has the following contact phone number (618) 937-3509.

The enumeration date for this NPI number is 11/19/2008 and was last updated on 2/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		038009210	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	929137	OTHER	ILLINOIS	HEALTHLINK, INC.

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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