Individual
MARK D PLASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1133 JACKSON ST, SIDNEY, NE 69162-1657
(308) 254-7267
Mailing address
1133 JACKSON ST, SIDNEY, NE 69162-1657
(308) 254-7267
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1148
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09551
BLUE CROSS
NE
05
—
47081130400
—
NE
Enumeration date
12/04/2006
Last updated
06/13/2013
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