Statham, Mark W
Statham, Mark W is an individual health care provider with primary practice located at 715 N Beaver St , Flagstaff AZ 86001. 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. Statham, Mark W can be contacted via phone (928) 773-1601.Contact Information
Primary practice address
715 N Beaver St
Flagstaff AZ 86001
Phone: (928) 773-1601
Fax: (928) 773-1603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | AZ2618 | Arizona |
Profile Details
| NPI number | 1922002831 |
|---|---|
| LBN Legal business name | Statham, Mark W |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Mar 4th, 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.
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