Ilgen, Mark Andrew
Ilgen, Mark Andrew is an individual health care provider with primary practice located at 4250 Plymouth Rd , Ann Arbor MI 48109-2700. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Ilgen, Mark Andrew can be contacted via phone (734) 764-6443.Contact Information
Primary practice address
4250 Plymouth Rd
Ann Arbor MI 48109-2700
Phone: (734) 764-6443
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 6301013529 | Michigan |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301013529 | Michigan |
Profile Details
NPI number | 1013043496 |
---|---|
LBN Legal business name | Ilgen, Mark Andrew |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 27th, 2007 |
Last updated | Jul 15th, 2020 - about 4 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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