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Organization

LOCKHART CHIROPRACTIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK A LOCKHART DC (DOCTOR OF CHIROPRACTIC)
(660) 815-0448
Entity
Organization

Contact information

Practice address
754 S ODELL AVE, MARSHALL, MO 65340-2504
(660) 886-7134
(660) 886-7135
Mailing address
PO BOX 792, 754 S ODELL, MARSHALL, MO 65340-0792
(660) 886-7134
(660) 886-7135

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5819
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16493023
BCBS
01
227259
HEALTHLINK
05
500077364
MO
05
830065090
MO
01
P00307602
RR MEDICARE
Enumeration date
02/02/2007
Last updated
10/23/2024
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