Doctor Name: | DR. MARK KEVIN LIQUE |
NPI Number: | 1659479509 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 747-0905 |
Business Practice Address: | 408 S Huntington Ave Jamaica Plain, MA - 021304814 |
Business Phone Number: | 6175229200 |
Business Fax Number: | 6175229200 |
Mailing Address: | 15 Acorn St, HAVERHILL |
State: | MA |
Postal Code: | 018323001 |
Phone Number: | 9782900568 |
Fax Number: | |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 01/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 747-0905 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NH |
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. |