Roesler, Mark Alderson
Roesler, Mark Alderson is an sole proprietor health care provider with primary practice located at 11638 W Florissant Ave , Florissant MO 63033-6723. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Roesler, Mark Alderson can be contacted via phone (314) 838-2220.Contact Information
Primary practice address
11638 W Florissant Ave
Florissant MO 63033-6723
Phone: (314) 838-2220
Fax: (314) 838-8161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 005161 | Missouri |
Profile Details
| NPI number | 1801994017 |
|---|---|
| LBN Legal business name | Roesler, Mark Alderson |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Oct 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801994017 | NPPES |
| Missouri | Other | 4400116 | UNITED HEALTHCARE |
| Missouri | Other | 431429608R | UNITED HEALTHCARE |
| Missouri | Other | 12448 | UNITED HEALTHCARE |
| Missouri | Other | 140674900 | UNITED HEALTHCARE |
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