States, Richard Mark
States, Richard Mark is an sole proprietor health care provider with primary practice located at 533 Maple Ave , Du Bois PA 15801-2311. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. States, Richard Mark can be contacted via phone (814) 771-7264.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | PL002948 | Pennsylvania |
Profile Details
| NPI number | 1194795302 |
|---|---|
| LBN Legal business name | States, Richard Mark |
| Credentials | MA, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Nov 29th, 2022 - about 2 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 | 1194795302 | NPPES |
| Pennsylvania | Other | 001767829 | HIGHMARK BC/BS |
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