Individual
DR. MARK VINCENT WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
316 W MOUNT VERNON BLVD, MOUNT VERNON, MO 65712-1940
(417) 461-1155
(417) 461-1155
Mailing address
316 W MOUNT VERNON BLVD, MOUNT VERNON, MO 65712-1940
(417) 461-1155
(417) 461-1155
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006467
MO
171100000X
Acupuncturist
006467
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
315015486
INDIVIDUAL PTAN
MO
01
—
350039075
RAILROAD MEDICARE
MO
01
—
990001294
MEDICARE GROUP LEGACY
MO
Enumeration date
12/11/2006
Last updated
08/08/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us