Mark, Michael David

Mark, Michael David is an individual health care provider with primary practice located at 13677 Foothill Blvd Ste P , Fontana CA 92335-0214. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Mark, Michael David can be contacted via phone (909) 766-5397.

Contact Information

Primary practice address
13677 Foothill Blvd Ste P Fontana CA 92335-0214
Phone: (909) 766-5397
Fax: (909) 697-2274
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 17044 California

Profile Details

NPI number 1508310244
LBN Legal business name Mark, Michael David
Credentials LA.C, DIPL. O.M.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2016
Last updated Aug 11th, 2016 - about 8 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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