Bronson, Mark Richard
Bronson, Mark Richard is an sole proprietor health care provider with primary practice located at 5521 Bellaire Dr S Suite 100, Benbrook TX 76109-8838. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Bronson, Mark Richard can be contacted via phone (817) 732-4441.Contact Information
Primary practice address
5521 Bellaire Dr S Suite 100
Benbrook TX 76109-8838
Phone: (817) 732-4441
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Orthopedic | 111NX0800X | 4065 | Texas |
Profile Details
| NPI number | 1396719472 |
|---|---|
| LBN Legal business name | Bronson, Mark Richard |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Feb 20th, 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 | 1396719472 | NPPES |
| Texas | MEDICAID | 001251001 | |
| Texas | Other | 4065 | |
| Texas | Other | 751839034 |
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