Dull, Mark A

Dull, Mark A is an sole proprietor health care provider with primary practice located at 237 E. Main St , Twin Lakes WI 53181. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Dull, Mark A can be contacted via phone (262) 877-2196.

Contact Information

Primary practice address
237 E. Main St Twin Lakes WI 53181
Phone: (262) 877-2196
Fax: (262) 877-2204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X 2331-012 Wisconsin

Profile Details

NPI number 1356437958
LBN Legal business name Dull, Mark A
Credentials D.C.,DABCO,DACBSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356437958 NPPES
Wisconsin MEDICAID 38931200

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