Van Leuven, Mark
Van Leuven, Mark is an individual health care provider with primary practice located at 564 Hoosick St , Troy NY 12180-2106. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Van Leuven, Mark can be contacted via phone (518) 273-2715.Contact Information
Primary practice address
564 Hoosick St
Troy NY 12180-2106
Phone: (518) 273-2715
Fax: (518) 273-2815
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 015588-1 | New York |
Profile Details
| NPI number | 1114994266 |
|---|---|
| LBN Legal business name | Van Leuven, Mark |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Feb 14th, 2008 - 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 | 1114994266 | NPPES |
| New York | MEDICAID | 02251054 |
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