Anderson, Mark Christopher
Anderson, Mark Christopher is an sole proprietor health care provider with primary practice located at 2620 Regatta Dr Suite 102, Las Vegas NV 89128-6891. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Cognitive & Behavioral is his primary health care specialty. Anderson, Mark Christopher can be contacted via phone (702) 363-6429.Contact Information
Primary practice address
2620 Regatta Dr Suite 102
Las Vegas NV 89128-6891
Phone: (702) 363-6429
Fax: (702) 925-8747
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | PY0489 | Nevada |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY0489 | Nevada |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 013030 | New York |
Profile Details
| NPI number | 1801951579 |
|---|---|
| LBN Legal business name | Anderson, Mark Christopher |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 23rd, 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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