Smith, Mark A
Smith, Mark A is an individual health care provider with primary practice located at 1404 Del Prado Blvd S Suite 110, Cape Coral FL 33990-3774. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Smith, Mark A can be contacted via phone (239) 772-3232.Contact Information
Primary practice address
1404 Del Prado Blvd S Suite 110
Cape Coral FL 33990-3774
Phone: (239) 772-3232
Fax: (239) 458-3272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH5040 | Florida |
Profile Details
| NPI number | 1255396990 |
|---|---|
| LBN Legal business name | Smith, Mark A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Nov 16th, 2017 - about 7 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 | 1255396990 | NPPES |
| Florida | MEDICAID | 380840800 |
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