Fellwock, Mark M
Fellwock, Mark M is an individual health care provider with primary practice located at 5604 W 74Th St , Indianapolis IN 46278-1752. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Fellwock, Mark M can be contacted via phone (317) 290-1551.Contact Information
Primary practice address
5604 W 74Th St
Indianapolis IN 46278-1752
Phone: (317) 290-1551
Fax: (317) 290-2052
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 05004294A | Indiana |
Profile Details
| NPI number | 1780885590 |
|---|---|
| LBN Legal business name | Fellwock, Mark M |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2007 |
| Last updated | May 9th, 2009 - 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.
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