Iwanicki, Mark Greg
Iwanicki, Mark Greg is an sole proprietor health care provider with primary practice located at 125 Throckmorton Ave , Mill Valley CA 94941-1909. He recently has only one registered license in Other Service Providers / Naturopath, which is considered as his primary health care specialty. Iwanicki, Mark Greg can be contacted via phone (917) 971-6625.Contact Information
Primary practice address
125 Throckmorton Ave
Mill Valley CA 94941-1909
Phone: (917) 971-6625
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Naturopath | 175F00000X | ND833 | California |
Profile Details
| NPI number | 1780136192 |
|---|---|
| LBN Legal business name | Iwanicki, Mark Greg |
| Credentials | ND |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2016 |
| Last updated | Nov 2nd, 2016 - about 8 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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