Daniels, Mark
Daniels, Mark is an sole proprietor health care provider with primary practice located at 630 S Elm Ave , Webster Groves MO 63119-4047. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Daniels, Mark can be contacted via phone (417) 839-9920.Contact Information
Primary practice address
630 S Elm Ave
Webster Groves MO 63119-4047
Phone: (417) 839-9920
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 00036 | Missouri |
Profile Details
| NPI number | 1205249257 |
|---|---|
| LBN Legal business name | Daniels, Mark |
| Credentials | L.A.T., M.S., A.T.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2014 |
| Last updated | Jun 7th, 2014 - about 11 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 | 1205249257 | NPPES |
| Missouri | Other | 00036 | LICENSED ATHLETIC TRAINER |
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