Mr Mark R Ditzenberger, DC | |
701 N. 7 Highway, Suite B, Blue Springs, MO 64014-2436 | |
(816) 224-6200 | |
(816) 224-2788 |
Full Name | Mr Mark R Ditzenberger |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 20 Years |
Location | 701 N. 7 Highway, Blue Springs, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508894692 | NPI | - | NPPES |
08220357 | Other | IL | BCBS OF IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 38010718 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blue Springs Chiropractic Clinic Pc | 8426041526 | 2 |
Provider Name | Blue Springs Chiropractic Clinic Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1528078474 PECOS PAC ID: 8426041526 Enrollment ID: O20040405001708 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark R Ditzenberger, DC 701 N. 7 Highway, Suite B, Blue Springs, MO 64014-2436 Ph: (816) 224-6200 | Mr Mark R Ditzenberger, DC 701 N. 7 Highway, Suite B, Blue Springs, MO 64014-2436 Ph: (816) 224-6200 |
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