Medina, Mark Allen

Medina, Mark Allen is an individual health care provider with primary practice located at 3471 S Kansas Ave , Milwaukee WI 53207-3654. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Medina, Mark Allen can be contacted via phone (414) 486-1307.

Contact Information

Primary practice address
3471 S Kansas Ave Milwaukee WI 53207-3654
Phone: (414) 486-1307
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 0848-19 Wisconsin

Profile Details

NPI number 1023052099
LBN Legal business name Medina, Mark Allen
Credentials PTA10
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Nov 6th, 2013 - about 12 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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