Guice, Mark

Guice, Mark is an individual health care provider with primary practice located at 7645 Pines Rd , Shreveport LA 71129-3905. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Guice, Mark can be contacted via phone (318) 683-0300.

Contact Information

Primary practice address
7645 Pines Rd Shreveport LA 71129-3905
Fax: (318) 687-3937
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 945 Louisiana

Profile Details

NPI number 1811956592
LBN Legal business name Guice, Mark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
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 1811956592 NPPES
Arkansas MEDICAID 1953423

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