Clubb, Mark R.
Clubb, Mark R. is an sole proprietor health care provider with primary practice located at 11154 Huron St Suite 209, Northglenn CO 80234-2328. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Clubb, Mark R. can be contacted via phone (303) 920-8771.Contact Information
Primary practice address
11154 Huron St Suite 209
Northglenn CO 80234-2328
Phone: (303) 920-8771
Fax: (303) 920-8774
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4621 | Colorado |
Profile Details
| NPI number | 1558575233 |
|---|---|
| LBN Legal business name | Clubb, Mark R. |
| Credentials | M.A., LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2007 |
| Last updated | Dec 28th, 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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