Dresselhouse, Mark
Dresselhouse, Mark is an individual health care provider with primary practice located at 18780 Interstate 20 , Canton TX 75103-3593. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Dresselhouse, Mark can be contacted via phone (903) 567-4841.Contact Information
Primary practice address
18780 Interstate 20
Canton TX 75103-3593
Phone: (903) 567-4841
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | R6554 | Texas |
Profile Details
NPI number | 1184088015 |
---|---|
LBN Legal business name | Dresselhouse, Mark |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 6th, 2016 |
Last updated | Jan 4th, 2021 - about 3 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 | 1184088015 | NPPES |
Texas | MEDICAID | 387166707 | |
Texas | MEDICAID | 387166706 |
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