person
Dr. Henry Charles Marquardt, DC
Chiropractor in Jackson, Wyoming
NPI 1508802695

Henry Charles Marquardt is a Chiropractor based in Jackson, WY. Henry Charles Marquardt practices in Jackson, WY and has the professional credentials of DC. The NPI Number for Henry Charles Marquardt is 1508802695 and holds a License No. 01-04793 (Wyoming).

The current practice location address for Henry Charles Marquardt is 25 S Gros Ventre, Jackson, WY and can be reached out via phone at 913-530-2889 and via fax at 307-200-6639. You can also correspond with Henry Charles Marquardt through the mailing address at PO BOX 4975, JACKSON, WY - 83001-4975 (mailing address contact number: 913-530-2889).

Location: 25 S Gros Ventre, Jackson, WY, 83001-4975
person
Provider Profile Details
NPI Number
1508802695
Provider Name
Henry Charles Marquardt
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
25 S Gros Ventre, Jackson, WY, 83001-4975
Phone Number
913-530-2889
Fax Number
307-200-6639
Provider Enumeration Date
06/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
007492452 01 KS AETNA PIN
32234012 01 KS BLUECROSS BLUESHIELD PIN
institution
Provider Business Practice Location Address Details
Address
25 S Gros Ventre
City
State
Zip
83001
Phone Number
913-530-2889
Fax Number
307-200-6639
person
Provider Business Mailing Address Details
Address
Po Box 4975
City
State
Zip
83001-4975
Phone Number
913-530-2889
Fax Number
307-200-6639
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
01-04793 (Kansas)
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.
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