Andersen, Mark Edward

Andersen, Mark Edward is an individual health care provider with primary practice located at 127 Hospital Dr #101, Vallejo CA 94589-2500. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Andersen, Mark Edward can be contacted via phone (707) 552-8795.

Contact Information

Primary practice address
127 Hospital Dr #101 Vallejo CA 94589-2500
Phone: (707) 552-8795
Fax: (707) 552-9638
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT7772 California

Profile Details

NPI number 1285617076
LBN Legal business name Andersen, Mark Edward
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Oct 21st, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers