Marien, Mark Creston

Marien, Mark Creston is an sole proprietor health care provider with primary practice located at 19315 W Catawba Ave Suite 100, Cornelius NC 28031-8650. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Chiropractor is his primary health care specialty. Marien, Mark Creston can be contacted via phone (704) 896-1811.

Contact Information

Primary practice address
19315 W Catawba Ave Suite 100 Cornelius NC 28031-8650
Fax: (239) 542-8193
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH9058 Florida
Chiropractic Providers / Sports Physician 111NS0005X 4334 North Carolina

Profile Details

NPI number 1265431761
LBN Legal business name Marien, Mark Creston
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2005
Last updated Aug 20th, 2013 - about 11 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 1265431761 NPPES
Florida Other 70040 BLUE CROSS

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