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:
Health care specialties
| Specialty | Code | License # | 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 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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