Dedrick, Mark Edward

Dedrick, Mark Edward is an sole proprietor health care provider with primary practice located at 8280 Princeton Square Blvd W Ste 1 , Jacksonville FL 32256-0362. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Dedrick, Mark Edward can be contacted via phone (904) 742-2967.

Contact Information

Primary practice address
8280 Princeton Square Blvd W Ste 1 Jacksonville FL 32256-0362
Phone: (904) 742-2967
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AP1427 Florida

Profile Details

NPI number 1629165154
LBN Legal business name Dedrick, Mark Edward
Credentials AAS, BS, MSOM, AP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2006
Last updated Jul 8th, 2007 - about 18 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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