Nalley, Mark Lane

Nalley, Mark Lane is an sole proprietor health care provider with primary practice located at 709 W Vine St , Kissimmee FL 34741-4188. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Nalley, Mark Lane can be contacted via phone (407) 846-2225.

Contact Information

Primary practice address
709 W Vine St Kissimmee FL 34741-4188
Fax: (407) 846-6277
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH7583 Florida

Profile Details

NPI number 1578610523
LBN Legal business name Nalley, Mark Lane
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Feb 3rd, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578610523 NPPES
Florida MEDICAID 381159000

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