Husen, Mark Thomas

Husen, Mark Thomas is an individual health care provider with primary practice located at 1630 Commanche Ave , Green Bay WI 54313-5753. 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. Husen, Mark Thomas can be contacted via phone (920) 430-4750.

Contact Information

Primary practice address
1630 Commanche Ave Green Bay WI 54313-5753
Phone: (920) 430-4750
Fax: (920) 430-4746
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 86-039 Wisconsin

Profile Details

NPI number 1568456598
LBN Legal business name Husen, Mark Thomas
Credentials ATC, LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
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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