National Provider Identifier Database

MARK J GLACCUM, DC – NPI #1205008786
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.


Contact Information

MARK J GLACCUM, DC
415 GORDON AVENUE
THOMASVILLE, GA31792
Phone: 229-226-3101
Fax: 229-225-1745
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for MARK J GLACCUM

NPI Number 1205008786
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 03/25/2008
Last updated 03/25/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • GA License #: CHIR002714
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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