Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2301004642 | MI |
N | 111N00000X | Chiropractor | 945 | OH |
N | 111NI0013X | Independent Medical Examiner | 2301004642 | MI |
N | 111NI0013X | Independent Medical Examiner | 945 | OH |
N | 111NN1001X | Nutrition | 2301004642 | MI |
N | 111NN1001X | Nutrition | 945 | OH |
N | 111NR0200X | Radiology | 2301004642 | MI |
N | 213ER0200X | Radiology | 2301004642 | MI |
N | 111NR0200X | Radiology | 945 | OH |
N | 213ER0200X | Radiology | 945 | OH |
N | 111NR0400X | Rehabilitation Chiropractor | 2301004642 | MI |
N | 111NR0400X | Rehabilitation Chiropractor | 945 | OH |
N | 111NT0100X | Thermography | 2301004642 | MI |
N | 111NT0100X | Thermography | 945 | OH |
N | 111NX0100X | Occupational Health | 2301004642 | MI |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 2301004642 | MI |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 945 | OH |
NPI | 1578766432 |
---|---|
Provider Name | Dr. Mark D Lirot |
First Address | Coldwater, MI 49036-1855 |
Second Address | Coldwater, MI 49036-1855 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2007 |
Last Update Date | 04/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T32650 | (02) | MI |