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:
Health care specialties
| Specialty | Code | License # | 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 16 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 | 1023091782 | NPPES |
| Colorado | MEDICAID | 07015712 |
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