Wood, Mark A
Wood, Mark A is an sole proprietor health care provider with primary practice located at 506 E Broad St , Raymond IL 62560-5202. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Orthopedic, Chiropractic Providers / Chiropractor. Chiropractic Providers / Orthopedic is his primary health care specialty. Wood, Mark A can be contacted via phone (217) 573-2400.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Orthopedic | 111NX0800X | 038004895 | Illinois |
| Chiropractic Providers / Chiropractor | 111N00000X | 038004895 | Illinois |
Profile Details
| NPI number | 1639260953 |
|---|---|
| LBN Legal business name | Wood, Mark A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Aug 17th, 2018 - about 6 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 | 1639260953 | NPPES |
| Illinois | MEDICAID | 974600327 |
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