Griesemer, Mark Thomas

Griesemer, Mark Thomas is an individual health care provider with primary practice located at 223 S State Road 135 , Greenwood IN 46142-1421. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Griesemer, Mark Thomas can be contacted via phone (317) 881-9792.

Contact Information

Primary practice address
223 S State Road 135 Greenwood IN 46142-1421
Phone: (317) 881-9792
Fax: (317) 882-1766
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 08001713A Indiana

Profile Details

NPI number 1871559690
LBN Legal business name Griesemer, Mark Thomas
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Jul 25th, 2011 - about 14 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 1871559690 NPPES
Indiana Other 7165004 AETNA PIN
Indiana Other 000000207597 AETNA PIN
Indiana MEDICAID 200223900 AETNA PIN

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