Grant, Mark Charles

Grant, Mark Charles is an individual health care provider with primary practice located at 451 Pine Lake Ave , La Porte IN 46350-2314. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Grant, Mark Charles can be contacted via phone (219) 362-3766.

Contact Information

Primary practice address
451 Pine Lake Ave La Porte IN 46350-2314
Phone: (219) 362-3766
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 08001545 Indiana

Profile Details

NPI number 1477730141
LBN Legal business name Grant, Mark Charles
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2008
Last updated Jan 24th, 2008 - 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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