Mayo, Mark Andrew
Mayo, Mark Andrew is an sole proprietor health care provider with primary practice located at 2530 Debarr Rd , Anchorage AK 99508-2948. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Mayo, Mark Andrew can be contacted via phone (907) 258-7575.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 133440 | Alaska |
Profile Details
| NPI number | 1902460835 |
|---|---|
| LBN Legal business name | Mayo, Mark Andrew |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2019 |
| Last updated | Apr 25th, 2019 - about 6 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 | 1902460835 | NPPES |
| Alaska | Other | 13340 | STATE LICENSE |
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