Quenneville, Mark

Quenneville, Mark is an individual health care provider with primary practice located at 4424 S Pennsylvania Ave , Lansing MI 48910-7625. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is his primary health care specialty. Quenneville, Mark can be contacted via phone (517) 394-5850.

Contact Information

Primary practice address
4424 S Pennsylvania Ave Lansing MI 48910-7625
Phone: (517) 394-5850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist 224L00000X

Profile Details

NPI number 1609117878
LBN Legal business name Quenneville, Mark
Credentials CO, CPED
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2013
Last updated Mar 12th, 2013 - about 11 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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