Schorn, Mark David
Schorn, Mark David is an individual health care provider with primary practice located at 9419 Coppertop Loop Ne , Bainbridge Island WA 98110-3647. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Schorn, Mark David can be contacted via phone (206) 842-2428.Contact Information
Primary practice address
9419 Coppertop Loop Ne
Bainbridge Island WA 98110-3647
Phone: (206) 842-2428
Fax: (206) 842-2890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 00002906 | Washington |
Profile Details
| NPI number | 1609928944 |
|---|---|
| LBN Legal business name | Schorn, Mark David |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Dec 17th, 2014 - about 10 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 | 1609928944 | NPPES |
| Washington | Other | 0200505 | WA. LABOR AND INDUSTRY |
| Washington | MEDICAID | 8346496 | WA. LABOR AND INDUSTRY |
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