Mark H. Love, D.C.
Individual provider Active NPI Chiropractor · Twisp, WA
NPI 1326185877 · NPPES record last updated Aug 28, 2012
Key facts
- NPI
- 1326185877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH00001754 (WA)
- Practice address
- 614 Canyon Road
Twisp, WA 98856 - Phone
- (509) 997-7062
- Fax
- (509) 997-7022
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
614 Canyon Rd
Twisp, WA 98856-0127
Phone (509) 997-7062
PO Box
Suite 127
Twisp, WA 98856-0127
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040129000833 | WA | Practitioner - Chiropractic | 8628971371 | Practice locations: Twisp, WA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00001754 | WA | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00001754 | WA | Yes |
Addresses
Primary practice location
614 Canyon Road
Twisp, WA 98856
Mailing address
PO Box 127
Twisp, WA 98856-0127
Phone (509) 997-7062
Other providers in Twisp, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.