MARK A FULLER D.C. LAC NPI 1639270945

NPI Information

  • NPI: 1639270945
  • Provider Name: MARK A FULLER, D.C., LAC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 330 CURTIS AVE
    IRONTON, MN
    ZIP 56455
  • Phone: (218) 546-5188

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NPI Details

Mark A Fuller, D.C., LAC is a chiropractor in Ironton, MN. 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 A Fuller, D.C., LAC NPI is 1639270945. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

330 CURTIS AVE
IRONTON, MN
ZIP 56455-193
Phone: (218) 546-5188

The enumeration date for this NPI number is 9/26/2006 and was last updated on 7/8/2007.

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
1111N00000XChiropractor2948MINNESOTAYes

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
1U34004MEDICARE UPINMINNESOTA

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: 3/30/2025

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