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
Phone: (704) 896-1811
Fax: (239) 542-8193
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265431761 | NPPES |
Florida | Other | 70040 | BLUE CROSS |
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