Individual
DR. MARK JASON SPERBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
40 N GRAND AVE STE 200, FORT THOMAS, KY 41075-1765
(859) 448-0900
(859) 448-0989
Mailing address
40 N GRAND AVE STE 200, FORT THOMAS, KY 41075-1765
(859) 448-0900
(859) 448-0989
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2422
OH
111N00000X
Chiropractor
Primary
249709
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2046477
—
OH
05
—
7100158890
—
KY
01
—
P00079393
RAILROAD MEDICARE
OH
Enumeration date
10/27/2005
Last updated
03/12/2025
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