Short, Mark Philo
Short, Mark Philo is an sole proprietor health care provider with primary practice located at 2780 S Jones Blvd Ste 108 , Las Vegas NV 89146-5625. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / School is his primary health care specialty. Short, Mark Philo can be contacted via phone (702) 606-3295.Contact Information
Primary practice address
2780 S Jones Blvd Ste 108
Las Vegas NV 89146-5625
Phone: (702) 606-3295
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY0780 | Nevada |
Profile Details
| NPI number | 1124291778 |
|---|---|
| LBN Legal business name | Short, Mark Philo |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2008 |
| Last updated | Aug 4th, 2016 - about 9 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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