Mark J Stubbendieck Dc Inc

LBN: Mark J Stubbendieck Dc Inc
Mark J Stubbendieck Dc Inc is an health care organization with primary practice located at 780 E Smith Rd # A , Medina OH 44256-2662. The organization recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Rehabilitation, Chiropractic Providers / Sports Physician. Chiropractic Providers / Chiropractor is the primary health care specialty. Mark J Stubbendieck Dc Inc can be contacted via phone (330) 725-4060, or through Stubbendieck, Mark via phone (330) 725-4060.

Contact Information

Primary practice address
780 E Smith Rd # A Medina OH 44256-2662
Fax: (330) 722-4582
Website:
Authorized official contact:
Name: Stubbendieck, Mark Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1935 Ohio
Chiropractic Providers / Rehabilitation 111NR0400X 1935 Ohio
Chiropractic Providers / Sports Physician 111NS0005X 1935 Ohio

Profile Details

NPI number 1609315571
LBN Legal business name Mark J Stubbendieck Dc Inc
DBA Doing business as
Authorized official Stubbendieck, Mark Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2017
Last updated Sep 21st, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609315571 NPPES
Ohio MEDICAID 2657665

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