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Contact Information

MARK S BALDERSTON, D.C.
17202 MIDLAND DR.
SHAWNEE, KS66217-8901
 Phone: 913-631-8888
 Fax: 913-268-8390
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for MARK S BALDERSTON · (Male)

NPI # 1629061858
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 08/23/2005
Last updated 08/02/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 01-03482
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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