Lacich, Mark Alan
Lacich, Mark Alan is an individual health care provider with primary practice located at 206 Walnut St , Highland IL 62249-2350. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Lacich, Mark Alan can be contacted via phone (618) 654-8989.Contact Information
Primary practice address
206 Walnut St
Highland IL 62249-2350
Phone: (618) 654-8989
Fax: (618) 654-8655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | Illinois |
Profile Details
| NPI number | 1700857802 |
|---|---|
| LBN Legal business name | Lacich, Mark Alan |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1700857802 | NPPES |
| Illinois | Other | 539216 | HEALTHLINK |
| Illinois | Other | 06032056 | HEALTHLINK |
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