Vennerholm, Mark Edward

Vennerholm, Mark Edward is an sole proprietor health care provider with primary practice located at 2305 S Melrose Dr Ste 103 , Vista CA 92081-8789. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Vennerholm, Mark Edward can be contacted via phone (760) 230-3898.

Contact Information

Primary practice address
2305 S Melrose Dr Ste 103 Vista CA 92081-8789
Phone: (760) 230-3898
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 93040 California

Profile Details

NPI number 1053012443
LBN Legal business name Vennerholm, Mark Edward
Credentials CMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2023
Last updated Mar 13th, 2023 - about 2 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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