Venckeleer, Mark Andrew
Venckeleer, Mark Andrew is an sole proprietor health care provider with primary practice located at 1430 E Cooley Dr Ste 204 , Colton CA 92324-3944. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Venckeleer, Mark Andrew can be contacted via phone (909) 433-0445.Contact Information
Primary practice address
1430 E Cooley Dr Ste 204
Colton CA 92324-3944
Phone: (909) 433-0445
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1245365402 |
|---|---|
| LBN Legal business name | Venckeleer, Mark Andrew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Jul 8th, 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.
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