DR. MARK KEVIN LIQUE (NPI# 1659479509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659479509 |
| Entity Type | Individual |
| Full Name | DR. MARK KEVIN LIQUE |
| Credential | D.C. |
| Practice Address |
606 Broadway Haverhill MA 01832-1206 |
| Practice Telephone | 9785212225 |
| Practice Fax Number | 9785212678 |
| Mailing Telephone | 9785212225 |
| Mailing Fax Number | 9785212678 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2019-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2921 | MA | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 747-0905 | NH | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | CIGNA | 2952014 | 01 |
| NH | ANTHEM BCBS | 05Y009056NH01 | 01 |
| NH | HARVARD PILGRIM | AA53239 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 408 S Huntington Ave, Jamaica Plain, MA 021304814 | 6175229200 | 6175229200 |
| Street Address |
606 BROADWAY |
| City | HAVERHILL |
| State | MA |
| Zip Code | 01832-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457811200 | Advantage Health Massage | Massage Therapist | 606 Broadway, Haverhill, MA 01832-1206 | 2019-03-20 |
| 1801367529 | Stacy Ann Gauthier | Massage Therapist | 606 Broadway, Haverhill, MA 01832-1206 | 2018-12-06 |
| 1598144180 | Awilda Alley Garcia | Massage Therapist | 606 Broadway, Haverhill, MA 01832-1206 | 2015-05-28 |
| 1225471840 | Heather Waldie | Dietitian, Registered | 606 Broadway, Haverhill, MA 01832-1206 | 2013-04-12 |
| 1639449424 | Mark Lique, D.c., LLC | Chiropractor | 606 Broadway, Haverhill, MA 01832-1206 | 2012-01-10 |
| 1326233867 | Haverhill Family Chiropractic | Chiropractor | 606 Broadway, Haverhill, MA 01832-1206 | 2007-09-07 |
| 1356497218 | Troy Lew Wheelwright | Chiropractor | 606 Broadway, Haverhill, MA 01832-1206 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154887503 | Emely D Valenzuela Toribio | Behavioral Analyst | 116 Klondike Ave Apt 104, Lawrence, Haverhill, MA 01832 | 2019-02-11 |
| 1184194821 | Janet De Leon | Social Worker | 78 Perkins Ct, Haverhill, MA 01832 | 2018-11-26 |
| 1073005765 | Krista Boucher | Behavioral Analyst | 62 Wingate St Apt 3b, Haverhill, MA 01832 | 2018-05-30 |
| 1619354172 | Hearts To Home | Home Health | 72 Broadway #1, Haverhill, MA 01832 | 2015-05-04 |
| 1316238363 | Shaine Anthony Alvaranga | Counselor | 25 Victor St, Apt 1, Haverhill, MA 01832 | 2011-04-26 |
| 1851487979 | Stacey Bogue Foster | Social Worker | 266 Waverly Road, North Andover, MA 01832 | 2006-10-05 |
| 1023587763 | Kim Phan | Pharmacist | 425 Lowell Ave, Haverhill, MA 01832 | 2018-11-23 |
| 1164896015 | Amy Burkland | Counselor | 230 Liberty St, Haverhill, MA 01832-1034 | 2015-11-16 |
| 1669919098 | Tyler Woelfel | Specialist/Technologist | 7 White Oak Cir, Haverhill, MA 01832-1075 | 2017-01-24 |
| 1831229541 | Susan Margaret Lawlor | Registered Nurse | 6 Danielle Dr, Haverhill, MA 01832-1130 | 2007-03-06 |
| Find all providers in zip 01832 | ||||
| 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 |
|---|---|---|---|---|
| 1083732077 | Mark Stephen Messinger | Chiropractor | 93 Washington St, Haverhill, MA 01832-5569 | 2007-03-27 |
| 1093800674 | Linda Rose Haley | Chiropractor | 350 Main St Ste 6, Haverhill, MA 01830-4036 | 2006-10-03 |
| 1023111077 | Melissa A Marr | Chiropractor | 379 Main St, Haverhill, MA 01830-4037 | 2006-09-06 |
| 1306954508 | Samuel Joseph Amari Jr. | Chiropractor | 89 93 Kenoza Ave, Haverhill, MA 01830-0432 | 2006-08-28 |
| 1487666426 | Jonathan Luscomb | Chiropractor | 70 Merrimack St, Haverhill, MA 01830-6207 | 2006-08-11 |
| 1023653730 | John M Redhead | Chiropractor | 379 Main St, Haverhill, MA 01830-4070 | 2019-11-18 |
| 1083044036 | Hayden Chiropractic L.l.c | Chiropractor | 30 Lafayette Sq, Haverhill, MA 01832-4739 | 2013-11-12 |
| 1639449424 | Mark Lique, D.c., LLC | Chiropractor | 606 Broadway, Haverhill, MA 01832-1206 | 2012-01-10 |
| 1417126939 | Samuel J. Amari, Jr., D.c., P.C. | Chiropractor | 89 93 Kenoza Ave, Haverhill, MA 01830 | 2008-02-28 |
| 1831377100 | Condon Chiropractic Center | Chiropractor | 288 Groveland St, Suite C2, Haverhill, MA 01830-6674 | 2008-02-08 |
| Find all providers in HAVERHILL | ||||
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| 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.