Anderson, Mark

Anderson, Mark is an sole proprietor health care provider with primary practice located at 2208 Broadway , Scottsbluff NE 69361-1970. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Anderson, Mark can be contacted via phone (308) 632-8080.

Contact Information

Primary practice address
2208 Broadway Scottsbluff NE 69361-1970
Fax: (308) 632-8084
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2588 Nebraska

Profile Details

NPI number 1225120363
LBN Legal business name Anderson, Mark
Credentials LMHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Jul 8th, 2007 - about 19 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 1225120363 NPPES
Nebraska MEDICAID 10025456300

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