Roerick, Mark
Roerick, Mark is an sole proprietor health care provider with primary practice located at 52 33Rd Ave S , Saint Cloud MN 56301-3722. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Roerick, Mark can be contacted via phone (320) 251-1080.Contact Information
Primary practice address
52 33Rd Ave S
Saint Cloud MN 56301-3722
Phone: (320) 251-1080
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3259 | Minnesota |
Profile Details
| NPI number | 1780807164 |
|---|---|
| LBN Legal business name | Roerick, Mark |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Nov 15th, 2017 - about 7 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 | 1780807164 | NPPES |
| Minnesota | MEDICAID | 689215900 |
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