Dehen, Mark David
Dehen, Mark David is an sole proprietor health care provider with primary practice located at 1706 Lor Ray Dr , North Mankato MN 56003-1939. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Dehen, Mark David can be contacted via phone (507) 388-7744.Contact Information
Primary practice address
1706 Lor Ray Dr
North Mankato MN 56003-1939
Phone: (507) 388-7744
Fax: (507) 388-8001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2374 | Minnesota |
| Chiropractic Providers / Chiropractor | 111N00000X | 4347 | Arizona |
Profile Details
| NPI number | 1831194281 |
|---|---|
| LBN Legal business name | Dehen, Mark David |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2005 |
| Last updated | May 31st, 2011 - about 13 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 | 1831194281 | NPPES |
| Minnesota | Other | 2D596DE | BCBS INDIVIDUAL |
| Minnesota | Other | 359000346 | BCBS INDIVIDUAL |
| Minnesota | Other | 230189 | BCBS INDIVIDUAL |
| Minnesota | Other | 958718700 | BCBS INDIVIDUAL |
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