Purcell, Mark Steven
Purcell, Mark Steven is an individual health care provider with primary practice located at 1118 14Th Ave , Longview WA 98632-3017. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Purcell, Mark Steven can be contacted via phone (360) 636-4360.Contact Information
Primary practice address
1118 14Th Ave
Longview WA 98632-3017
Phone: (360) 636-4360
Fax: (360) 425-5250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | PT00002437 | Washington |
Profile Details
| NPI number | 1952380222 |
|---|---|
| LBN Legal business name | Purcell, Mark Steven |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Jul 30th, 2010 - about 15 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 | 1952380222 | NPPES |
| Washington | Other | 6500 24408 | RAILROAD MEDICARE NUMBER |
| Washington | Other | 0103-981 | RAILROAD MEDICARE NUMBER |
| Washington | Other | 182420 | RAILROAD MEDICARE NUMBER |
| Washington | MEDICAID | 8413445 | RAILROAD MEDICARE NUMBER |
| Washington | Other | PU0807 | RAILROAD MEDICARE NUMBER |
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