Blessley, Mark J
Blessley, Mark J is an individual health care provider with primary practice located at 204 E 25Th St , Vancouver WA 98663-3219. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Blessley, Mark J can be contacted via phone (360) 693-7781.Contact Information
Primary practice address
204 E 25Th St
Vancouver WA 98663-3219
Phone: (360) 693-7781
Fax: (360) 693-1688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | OR27136 | Oregon |
| Chiropractic Providers / Chiropractor | 111N00000X | CH00003457 | Washington |
Profile Details
| NPI number | 1063417186 |
|---|---|
| LBN Legal business name | Blessley, Mark J |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Jun 25th, 2020 - about 4 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 | 1063417186 | NPPES |
| Washington | Other | 350055943 | RAILROAD MEDICARE |
| Washington | MEDICAID | 8370819 | RAILROAD MEDICARE |
| Washington | Other | 0154880 | RAILROAD MEDICARE |
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