Bledsoe, Mark A.
Bledsoe, Mark A. is an sole proprietor health care provider with primary practice located at 221 6Th Ave Se Suite 1, Aberdeen SD 57401-4362. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bledsoe, Mark A. can be contacted via phone (605) 229-1212.Contact Information
Primary practice address
221 6Th Ave Se Suite 1
Aberdeen SD 57401-4362
Phone: (605) 229-1212
Fax: (605) 229-4440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 653 | South Dakota |
Profile Details
| NPI number | 1790710796 |
|---|---|
| LBN Legal business name | Bledsoe, Mark A. |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Mar 30th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790710796 | NPPES |
| South Dakota | MEDICAID | 7600240 |
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