Marble, Mark

Marble, Mark is an sole proprietor health care provider with primary practice located at 1500 E Woodrow Wilson Ave , Jackson MS 39216-5116. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as his primary health care specialty. Marble, Mark can be contacted via phone (601) 362-4471.

Contact Information

Primary practice address
1500 E Woodrow Wilson Ave Jackson MS 39216-5116
Phone: (601) 362-4471
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X 27057 Florida

Profile Details

NPI number 1427599018
LBN Legal business name Marble, Mark
Credentials CTRS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2017
Last updated Mar 15th, 2017 - about 7 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 1427599018 NPPES
Other 27057 NATIONAL COUNCIL FOR THERAPEUTIC RECREATION CERTIFICATION

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