Henry, Mark Alan

Henry, Mark Alan is an individual health care provider with primary practice located at 2050 Marquette Rd Suite 300, Peru IL 61354. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Henry, Mark Alan can be contacted via phone (815) 223-9931.

Contact Information

Primary practice address
2050 Marquette Rd Suite 300 Peru IL 61354
Phone: (815) 223-9931
Fax: (815) 223-9689
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 021001743 Illinois

Profile Details

NPI number 1184889644
LBN Legal business name Henry, Mark Alan
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2008
Last updated Jul 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.

Request for update

Popular Providers