Mark W Farthing, DOCTOR OF CHIROPRACT
Individual provider Active NPI Chiropractor · Burlington, KS
NPI 1013052018 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013052018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- C-3934 (KS)
- Practice address
- 219 N 3Rd St
Burlington, KS 66839-1317 - Phone
- (620) 364-2644
- Fax
- (620) 364-2644
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-3934 | KS | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | C-3934 | KS | Yes |
Addresses
Primary practice location
219 N 3Rd St
Burlington, KS 66839-1317
Mailing address
219 N 3Rd St
Burlington, KS 66839-1317
Phone (620) 364-2644
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47163 | Other | KS | ELECTRONIC I D |
| 023583 | Other | KS | BLUECROSS BLUE SHIELD |
Other providers in Burlington, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.