Cobleigh, Mark Richard
Cobleigh, Mark Richard is an sole proprietor health care provider with primary practice located at 10403 S 15Th St Suite 102, Bellevue NE 68123-4448. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Cobleigh, Mark Richard can be contacted via phone (402) 734-6711.Contact Information
Primary practice address
10403 S 15Th St Suite 102
Bellevue NE 68123-4448
Phone: (402) 734-6711
Fax: (402) 734-4162
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 633 | Nebraska |
Profile Details
| NPI number | 1407930878 |
|---|---|
| LBN Legal business name | Cobleigh, Mark Richard |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Sep 13th, 2011 - about 14 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 | 1407930878 | NPPES |
| Iowa | MEDICAID | 0991463 | |
| Iowa | Other | 4561145 | |
| Iowa | MEDICAID | 4480052 | |
| Iowa | Other | 09618 | |
| Iowa | MEDICAID | 470613526-13 |
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