Maulit, Mark Robert
Maulit, Mark Robert is an individual health care provider with primary practice located at 810 Joe Brooks Dr , Jonesboro AR 72401-4133. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Maulit, Mark Robert can be contacted via phone (870) 931-6789.Contact Information
Primary practice address
810 Joe Brooks Dr
Jonesboro AR 72401-4133
Phone: (870) 931-6789
Fax: (870) 931-4363
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OTR1898 | Arkansas |
Profile Details
NPI number | 1609830868 |
---|---|
LBN Legal business name | Maulit, Mark Robert |
Credentials | OTR/L |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 14th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1609830868 | NPPES |
Arkansas | Other | 5Y005 | BCBS INDIV PROVIDER # |
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