Korchok, Mark Andrew
Korchok, Mark Andrew is an sole proprietor health care provider with primary practice located at 11867 Mason Montgomery Rd , Cincinnati OH 45249-4712. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Korchok, Mark Andrew can be contacted via phone (513) 677-2200.Contact Information
Primary practice address
11867 Mason Montgomery Rd
Cincinnati OH 45249-4712
Phone: (513) 677-2200
Fax: (513) 677-2369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | OH-1359 | Ohio |
Profile Details
| NPI number | 1760551360 |
|---|---|
| LBN Legal business name | Korchok, Mark Andrew |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Apr 24th, 2008 - about 16 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 | 1760551360 | NPPES |
| Ohio | MEDICAID | 0797553 |
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