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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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