Sissell, Mark Edward

Sissell, Mark Edward is an sole proprietor health care provider with primary practice located at 8180 19 Mile Rd , Sand Lake MI 49343-9455. He recently has only one registered license in Agencies / Foster Care Agency, which is considered as his primary health care specialty. Sissell, Mark Edward can be contacted via phone (616) 696-2304.

Contact Information

Primary practice address
8180 19 Mile Rd Sand Lake MI 49343-9455
Phone: (616) 696-2304
Fax: (616) 696-1713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Foster Care Agency 253J00000X AL410007118 Michigan

Profile Details

NPI number 1972159440
LBN Legal business name Sissell, Mark Edward
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2019
Last updated Aug 12th, 2019 - about 5 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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