Gruesbeck, Mark Raymond

Gruesbeck, Mark Raymond is an sole proprietor health care provider with primary practice located at 24 Willie Mays Plz , San Francisco CA 94107-2134. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Gruesbeck, Mark Raymond can be contacted via phone (415) 972-1633.

Contact Information

Primary practice address
24 Willie Mays Plz San Francisco CA 94107-2134
Phone: (415) 972-1633
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 0660 Arizona

Profile Details

NPI number 1619032380
LBN Legal business name Gruesbeck, Mark Raymond
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 23rd, 2006
Last updated Jul 8th, 2007 - about 18 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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