Terrell, Mark J
Terrell, Mark J is an sole proprietor health care provider with primary practice located at 1930 N Limestone St , Springfield OH 45503-2648. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Terrell, Mark J can be contacted via phone (937) 390-6403.Contact Information
Primary practice address
1930 N Limestone St
Springfield OH 45503-2648
Phone: (937) 390-6403
Fax: (937) 390-2763
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1014 | Ohio |
Profile Details
| NPI number | 1568509875 |
|---|---|
| LBN Legal business name | Terrell, Mark J |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1568509875 | NPPES |
| Ohio | Other | 31-1084409-00 | BWC PROVIDER NUMBER |
| Ohio | Other | 000000010457 | BWC PROVIDER NUMBER |
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