Individual
MR. MARK S BITSKAY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
708 E SMITH RD, MEDINA, OH 44256-2662
(330) 725-5277
(330) 725-4241
Mailing address
103 KIMBERLY DR, CRESTON, OH 44217-9425
(330) 620-1159
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1685
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000139760
ANTHEM
OH
05
—
0221638
—
ND
05
—
0826020
—
OH
01
—
1685
LICENSE
OH
01
—
20813900
US DEPT. OF LABOR-GROUP #
OH
01
—
34178207500
WORKERS COMP #
ND
01
—
341820248-00
GROUP WORKER'S COMP #
OH
Enumeration date
01/24/2006
Last updated
07/09/2007
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