Eavenson, Mark
Eavenson, Mark is an individual health care provider with primary practice located at 3986 Maryville Rd , Granite City IL 62040-4191. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Eavenson, Mark can be contacted via phone (618) 797-0618.Contact Information
Primary practice address
3986 Maryville Rd
Granite City IL 62040-4191
Phone: (618) 797-0618
Fax: (618) 797-2243
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | Illinois |
Profile Details
| NPI number | 1629037536 |
|---|---|
| LBN Legal business name | Eavenson, Mark |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2006 |
| Last updated | Jul 19th, 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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