Kirk, Mark S
Kirk, Mark S is an sole proprietor health care provider with primary practice located at 700 N Broad St Ste Ll2 700 North Broad St, Ll2, Elizabeth NJ 07208-2310. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kirk, Mark S can be contacted via phone (908) 352-6868.Contact Information
Primary practice address
700 N Broad St Ste Ll2 700 North Broad St, Ll2
Elizabeth NJ 07208-2310
Phone: (908) 352-6868
Fax: (908) 352-6865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 38MC00385300 | New Jersey |
Profile Details
| NPI number | 1326231457 |
|---|---|
| LBN Legal business name | Kirk, Mark S |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2007 |
| Last updated | Aug 22nd, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326231457 | NPPES |
| New Jersey | MEDICAID | 408717 |
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