Chisum, Mark Allen

Chisum, Mark Allen is an sole proprietor health care provider with primary practice located at 237 Genoa Avenue , Lubbock TX 79416. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Chisum, Mark Allen can be contacted via phone (806) 742-5111.

Contact Information

Primary practice address
237 Genoa Avenue Lubbock TX 79416
Phone: (806) 742-5111
Fax: (806) 742-4265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X ATO692 Texas

Profile Details

NPI number 1790900405
LBN Legal business name Chisum, Mark Allen
Credentials ATC LAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2007
Last updated Jul 9th, 2007 - about 17 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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