Faraco-Hadlock, Mark Neil

Faraco-Hadlock, Mark Neil is an sole proprietor health care provider with primary practice located at 445 Union Blvd Suite 238, Lakewood CO 80228-1237. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Faraco-Hadlock, Mark Neil can be contacted via phone (303) 988-1089.

Contact Information

Primary practice address
445 Union Blvd Suite 238 Lakewood CO 80228-1237
Phone: (303) 988-1089
Fax: (303) 816-0194
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1571 Colorado

Profile Details

NPI number 1023091782
LBN Legal business name Faraco-Hadlock, Mark Neil
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 26th, 2005
Last updated Jul 7th, 2010 - about 15 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 1023091782 NPPES
Colorado MEDICAID 07015712

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