Oliver, Mark Allan
Oliver, Mark Allan is an sole proprietor health care provider with primary practice located at 111B Sanders Ln , Bluefield VA 24605-9278. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Oliver, Mark Allan can be contacted via phone (276) 326-3611.Contact Information
Primary practice address
111B Sanders Ln
Bluefield VA 24605-9278
Phone: (276) 326-3611
Fax: (276) 322-2850
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 002567 | West Virginia |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 2305202418 | Virginia |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 050102053 | Virginia |
Profile Details
NPI number | 1710185301 |
---|---|
LBN Legal business name | Oliver, Mark Allan |
Credentials | DPT, ATC, CSCS, CPED |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 5th, 2007 |
Last updated | Jun 27th, 2015 - about 9 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 | 1710185301 | NPPES |
West Virginia | MEDICAID | 0156094000 |
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