Coreil, Mark Neil

Coreil, Mark Neil is an sole proprietor health care provider with primary practice located at 525 E Main St , Ville Platte LA 70586-4611. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Coreil, Mark Neil can be contacted via phone (337) 363-7666.

Contact Information

Primary practice address
525 E Main St Ville Platte LA 70586-4611
Fax: (337) 363-9187
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 4172 Louisiana

Profile Details

NPI number 1477612539
LBN Legal business name Coreil, Mark Neil
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1477612539 NPPES
Louisiana MEDICAID 1841722

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