Premselaar, Mark A.
Premselaar, Mark A. is an sole proprietor health care provider with primary practice located at 780 Coronado Center Dr Suite 110-A, Henderson NV 89052-5040. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Premselaar, Mark A. can be contacted via phone (702) 358-0464.Contact Information
Primary practice address
780 Coronado Center Dr Suite 110-A
Henderson NV 89052-5040
Phone: (702) 358-0464
Fax: (702) 506-0098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 5782-C | Nevada |
Profile Details
| NPI number | 1518979889 |
|---|---|
| LBN Legal business name | Premselaar, Mark A. |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Oct 7th, 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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