Ross, Mark David

Ross, Mark David is an individual health care provider with primary practice located at 2345 Main St Healthtrax International Inc., Glastonbury CT 06033-2211. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Ross, Mark David can be contacted via phone (716) 879-5023.

Contact Information

Primary practice address
2345 Main St Healthtrax International Inc. Glastonbury CT 06033-2211
Phone: (716) 879-5023
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1033185996
LBN Legal business name Ross, Mark David
Credentials MS, ATC, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jul 8th, 2007 - about 17 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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