Mahoney, Mark Allan

Mahoney, Mark Allan is an individual health care provider with primary practice located at 117 S Broadway St , New Ulm MN 56073-3114. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mahoney, Mark Allan can be contacted via phone (507) 354-4529.

Contact Information

Primary practice address
117 S Broadway St New Ulm MN 56073-3114
Phone: (507) 354-4529
Fax: (507) 354-7528
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4650 Minnesota

Profile Details

NPI number 1396866836
LBN Legal business name Mahoney, Mark Allan
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396866836 NPPES
Minnesota Other 278G4MA BCBS

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