Mark Ford Haney, D.C.

Individual provider Active NPI Chiropractor · Sedalia, MO

NPI 1902906522 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1902906522
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
003819 (MO)
Practice address
1715 W 9TH St
Sedalia, MO 65301-5208
Phone
(660) 826-6644
Fax
(660) 826-0075
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
Yes

Medicare Care Compare profile

Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1974
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1715 W 9TH St
Sedalia, MO 65301-5208
Phone (660) 826-6644

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120510000029 MO Practitioner - Chiropractic 6305008228 Practice locations: Sedalia, MO

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 003819 MO Yes

Addresses

Primary practice location

1715 W 9TH St
Sedalia, MO 65301-5208

Mailing address

1715 W 9TH St
Sedalia, MO 65301-5208
Phone (660) 826-6644

Other providers in Sedalia, MO

All providers in Sedalia, MO · Chiropractor in Missouri

Sources for this page

Verify at the official NPI Registry.