Dederichs, Mark Mitchell

Dederichs, Mark Mitchell is an individual health care provider with primary practice located at 1435 E Rt 66 #C, Glendora CA 91740-3748. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Acupuncturist. Chiropractic Providers / Chiropractor is his primary health care specialty. Dederichs, Mark Mitchell can be contacted via phone (626) 963-6332.

Contact Information

Primary practice address
1435 E Rt 66 #C Glendora CA 91740-3748
Phone: (626) 963-6332
Fax: (626) 963-0262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 16330 California
Other Service Providers / Acupuncturist 171100000X 9187 California

Profile Details

NPI number 1114063708
LBN Legal business name Dederichs, Mark Mitchell
Credentials DC LAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 8th, 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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