Provider Demographics
NPI:1154351898
Name:MARKOVICH, DAVID J (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:MARKOVICH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 25267
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93729-5267
Mailing Address - Country:US
Mailing Address - Phone:559-440-1919
Mailing Address - Fax:559-440-1989
Practice Address - Street 1:670 E BULLARD AVE STE 102
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5455
Practice Address - Country:US
Practice Address - Phone:559-440-1919
Practice Address - Fax:559-440-1918
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2025-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC22068111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU49597Medicare UPIN