Wodka, Richard Mark
Wodka, Richard Mark is an sole proprietor health care provider with primary practice located at 1790 N Mastick Way Suite D, Nogales AZ 85621-1135. He recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as his primary health care specialty. Wodka, Richard Mark can be contacted via phone (520) 223-6910.Contact Information
Primary practice address
1790 N Mastick Way Suite D
Nogales AZ 85621-1135
Phone: (520) 223-6910
Fax: (520) 281-3548
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X |
Profile Details
| NPI number | 1568697340 |
|---|---|
| LBN Legal business name | Wodka, Richard Mark |
| Credentials | M.DIV. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2009 |
| Last updated | May 21st, 2009 - about 15 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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