Anderson, Mark William
Anderson, Mark William is an sole proprietor health care provider with primary practice located at 3454 Oak Alley Ct #410, Toledo OH 43606-1306. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Anderson, Mark William can be contacted via phone (419) 729-0630.Contact Information
Primary practice address
3454 Oak Alley Ct #410
Toledo OH 43606-1306
Phone: (419) 729-0630
Fax: (419) 729-0570
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 78211 | Ohio |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C0002527 | Ohio |
Profile Details
NPI number | 1952387037 |
---|---|
LBN Legal business name | Anderson, Mark William |
Credentials | LPC LICDC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 20th, 2005 |
Last updated | Jan 24th, 2012 - about 13 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.
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