MARK V WALTERS DC PC NPI 1174783617

NPI Information

  • NPI: 1174783617
  • Provider Name: MARK V WALTERS DC PC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 316 W MOUNT VERNON BLVD
    MOUNT VERNON, MO
    ZIP 65712
  • Phone: (417) 461-1155

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NPI Details

MARK V WALTERS DC PC is a chiropractor in Mount Vernon, MO. The provider is 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. MARK V WALTERS DC PC NPI is 1174783617. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

316 W MOUNT VERNON BLVD
MOUNT VERNON, MO
ZIP 65712-940
Phone: (417) 461-1155
Fax: (417) 461-1155

The provider's authorized official is Mark Vincent Walters .
The authorized official title is Owner President and has the following contact phone number (417) 461-1155.

The enumeration date for this NPI number is 6/9/2008 and was last updated on 8/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171100000XAcupuncturist006467MISSOURINo
2111N00000XChiropractor006467MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U64931MEDICARE UPINMISSOURI
2000031501MEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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