LOCKHART CHIROPRACTIC, INC. (NPI# 1467590331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467590331 |
| Entity Type | Organization |
| Organization Name | LOCKHART CHIROPRACTIC, INC. |
| Practice Address |
754 S Odell Ave Marshall MO 65340-2504 |
| Mailing Address |
Po Box 792 754 S Odell Marshall MO 65340-0792 |
| Practice Telephone | 6608867134 |
| Practice Fax Number | 6608867135 |
| Mailing Telephone | 6608867134 |
| Mailing Fax Number | 6608867135 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | MARK A LOCKHART (DOCTOR OF CHIROPRACTIC) |
| Authorized Official Telephone | 6608867134 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5819 | MO | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTHLINK | 227259 | 01 | |
| RR MEDICARE | P00307602 | 01 | |
| MO | 500077364 | 05 | |
| MO | 830065090 | 05 | |
| BCBS | 16493023 | 01 |
| Street Address |
754 S ODELL AVE |
| City | MARSHALL |
| State | MO |
| Zip Code | 65340-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791847 | Gerald D Robertson | Chiropractor | 1566 S Odell Ave, Marshall, MO 65340 | 2019-07-15 |
| 1659860765 | William L Pearman | Nurse Practitioner | Marshall Emergency Physicians, 2305 South Highway 65, Marshall, MO 65340 | 2018-05-03 |
| 1992204978 | Susan Elizabeth Lichtenberg | Speech-Language Pathologist | 860 W. Vest St., Marshall, MO 65340 | 2018-02-06 |
| 1568974616 | Falin Kay Larsen | Family Medicine | 2303 Us-65, Marshal, MO 65340 | 2017-10-30 |
| 1881132587 | Dana Zinn | Nurse Practitioner | 1547 Commerce Dr, Marshall, MO 65340 | 2017-02-02 |
| 1760877179 | Lifetime Dental Associates | Dentist | 2301 S. 65 Hwy, Suite 1, Marshall, MO 65340 | 2015-04-02 |
| 1780078949 | Glenda Cervantes | Interpreter | 1324 S Ellswort Ave, Marshall, MO 65340 | 2015-03-26 |
| 1174922173 | Michelle Stockman | Licensed Practical Nurse | 1004 S. Lincoln Ave, Marshall, MO 65340 | 2014-08-15 |
| 1730527722 | Lynn C Evans | Pharmacist | 941 S. Cherokee, Suite 1, Marshall, MO 65340 | 2013-06-12 |
| 1740589753 | Bethany Anne Harris | Social Worker | 1126 E. Hwy Ww, Marshall, MO 65340 | 2011-03-17 |
| Find all providers in zip 65340 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720581952 | Jessica Ann Peterson | Chiropractor | 1305 E College Dr Ste B, Marshall, MN 56258-2073 | 2018-03-14 |
| 1780131771 | John Fitzgibbon Memorial Hospital, Inc. | Chiropractor | 2305 South 65 Highway Building A, Marshall, MO 65340-3702 | 2016-09-07 |
| 1447706718 | Kylie Clemons | Chiropractor | 2305 South 65 Hwy, Marshall, MO 65340-3702 | 2016-08-28 |
| 1346624947 | Hennen Chiropractic P.l.l.c. | Chiropractor | 1411 E College Dr Ste 105, Marshall, MN 56258-2086 | 2015-07-13 |
| 1114310257 | Bryan Simpson | Chiropractor | 187 S Lyon Ave, Marshall, MO 65340-1965 | 2015-03-13 |
| 1720351406 | Michael Kern | Chiropractor | 303 S Oconnell St, Marshall, MN 56258-2637 | 2012-02-11 |
| 1285851188 | Wellum Chiropractic Center Inc | Chiropractor | 1602 Illinois Hwy 1, Marshall, IL 62441 | 2007-04-20 |
| 1689898488 | Wilson Chiropractic Clinic | Chiropractor | 2005 E Grand Ave, Marshall, TX 75672 | 2007-04-12 |
| 1417085671 | Lance P Cook | Chiropractor | 201 W Pinecrest Dr, Marshall, TX 75670-7173 | 2007-03-01 |
| 1295881324 | Quentin James Fixen | Chiropractor | 104 W Redwood St, Marshall, MN 56258-1853 | 2007-01-25 |
| Find all providers in MARSHALL | ||||
Please comment or provide details below to improve the information on LOCKHART CHIROPRACTIC, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.