Doctor Name: | MARK LANE NALLEY |
NPI Number: | 1578610523 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | CH7583 |
Business Practice Address: | 709 W Vine St Kissimmee, FL - 347414188 |
Business Phone Number: | 4078462225 |
Business Fax Number: | 4078466277 |
Mailing Address: | 709 W Vine St, KISSIMMEE |
State: | FL |
Postal Code: | 347414188 |
Phone Number: | 4078462225 |
Fax Number: | 4078466277 |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 02/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH7583 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |