Individual
DR. MARK ALVIN LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3737 ELM ST, SAINT CHARLES, MO 63301-4345
(636) 329-4567
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
005819
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10896369
CAQH
—
01
—
16493023
BCBS OF KC
—
01
—
227259
HEALTH LINK
—
05
—
230077326
—
MO
01
—
4480726
UNITED HEALTHCARE
—
05
—
830065094
—
MO
Enumeration date
08/08/2006
Last updated
10/23/2024
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