Stansberry, Mark T
Stansberry, Mark T is an individual health care provider with primary practice located at 1106 W High St , Mt Pleasant MI 48858-2242. 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. Stansberry, Mark T can be contacted via phone (989) 779-2920.Contact Information
Primary practice address
1106 W High St
Mt Pleasant MI 48858-2242
Phone: (989) 779-2920
Fax: (989) 772-9424
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5501005383 | Michigan |
Profile Details
| NPI number | 1689731119 |
|---|---|
| LBN Legal business name | Stansberry, Mark T |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Jun 21st, 2008 - about 16 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 | 1689731119 | NPPES |
| Michigan | Other | 352191234 | PPOM PROVIDER NUMBER |
| Michigan | Other | 650C700040 | PPOM PROVIDER NUMBER |
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