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Contact Information

MARC K MAVIS, DC
2550 NILES RD
SAINT JOSEPH, MI49085
 Phone: 269-429-5727
 Fax: 269-429-5766
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for MARC K MAVIS · (Male)

NPI # 1215014139
Status Active
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 11/01/2006
Last updated 11/17/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 2301004976
  • MI Other 950A150130 BCBS MI
  • MI Other 2301004976 MI LICENSE
Hospital affiliation(s) Not Available
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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