Stubbendieck, Mark J
Stubbendieck, Mark J is an individual health care provider with primary practice located at 780 E Smith Rd Unit A , Medina OH 44256-2662. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Rehabilitation, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Stubbendieck, Mark J can be contacted via phone (330) 725-4060.Contact Information
Primary practice address
780 E Smith Rd Unit A
Medina OH 44256-2662
Phone: (330) 725-4060
Fax: (330) 722-4582
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Rehabilitation | 111NR0400X | 1935 | Ohio |
| Chiropractic Providers / Chiropractor | 111N00000X | 1935 | Ohio |
Profile Details
| NPI number | 1841349834 |
|---|---|
| LBN Legal business name | Stubbendieck, Mark J |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Sep 21st, 2023 - about last year |
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 | 1841349834 | NPPES |
| Ohio | Other | 000000138771 | ANTHEM BLUE CROSS |
| Ohio | MEDICAID | 2657665 | ANTHEM BLUE CROSS |
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