Fradkin, Mark L

Fradkin, Mark L is an sole proprietor health care provider with primary practice located at 9199 Reisterstown Rd Suite 211C, Owings Mills MD 21117-4520. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Fradkin, Mark L can be contacted via phone (410) 363-7254.

Contact Information

Primary practice address
9199 Reisterstown Rd Suite 211C Owings Mills MD 21117-4520
Fax: (410) 363-7254
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X U00323 Maryland

Profile Details

NPI number 1063533289
LBN Legal business name Fradkin, Mark L
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2007
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 1063533289 NPPES
Maryland Other U00323 LICENSE

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