King, Mark Anthony

King, Mark Anthony is an sole proprietor health care provider with primary practice located at 207 Fairmont Ave , Fairmont WV 26554-2710. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. King, Mark Anthony can be contacted via phone (681) 404-6869.

Contact Information

Primary practice address
207 Fairmont Ave Fairmont WV 26554-2710
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X BP00944913 West Virginia

Profile Details

NPI number 1982278073
LBN Legal business name King, Mark Anthony
Credentials MSW, LGSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2021
Last updated May 13th, 2021 - 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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