Winteregg, Mark R.

Winteregg, Mark R. is an sole proprietor health care provider with primary practice located at 10315 Dawsons Creek Blvd Ste I, Fort Wayne IN 46825-1912. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Winteregg, Mark R. can be contacted via phone (260) 490-3400.

Contact Information

Primary practice address
10315 Dawsons Creek Blvd Ste I Fort Wayne IN 46825-1912
Fax: (260) 489-5930
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X 08001604A Indiana

Profile Details

NPI number 1881697795
LBN Legal business name Winteregg, Mark R.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated Nov 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881697795 NPPES
Indiana Other 000000092552 BLUE CROSS/BLUE SHIELD

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