Bennallack, Mark William

Bennallack, Mark William is an individual health care provider with primary practice located at 1234 W Chapman Ave Suite # 204, Orange CA 92868-2862. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Chiropractor is his primary health care specialty. Bennallack, Mark William can be contacted via phone (714) 289-4693.

Contact Information

Primary practice address
1234 W Chapman Ave Suite # 204 Orange CA 92868-2862
Phone: (714) 289-4693
Fax: (714) 289-4698
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC22589 California
Chiropractic Providers / Sports Physician 111NS0005X DC22589 California

Profile Details

NPI number 1699842385
LBN Legal business name Bennallack, Mark William
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jun 24th, 2008 - about 16 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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