Bruce, Mark Allen
Bruce, Mark Allen is an sole proprietor health care provider with primary practice located at 301 N Van Buren St , Marion IL 62959-2335. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bruce, Mark Allen can be contacted via phone (618) 993-3187.Contact Information
Primary practice address
301 N Van Buren St
Marion IL 62959-2335
Phone: (618) 993-3187
Fax: (618) 993-0397
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 19-024396 | Illinois |
Profile Details
| NPI number | 1942429311 |
|---|---|
| LBN Legal business name | Bruce, Mark Allen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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