Cantieri, Mark S.
Cantieri, Mark S. is an individual health care provider with primary practice located at 3555 Park Pl W Ste 200, Mishawaka IN 46545-3513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as his primary health care specialty. Cantieri, Mark S. can be contacted via phone (574) 271-8646.Contact Information
Primary practice address
3555 Park Pl W Ste 200
Mishawaka IN 46545-3513
Phone: (574) 271-8646
Fax: (574) 271-8624
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | IN2001185A | Indiana |
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | IA01993 | Iowa |
Profile Details
| NPI number | 1851395487 |
|---|---|
| LBN Legal business name | Cantieri, Mark S. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Oct 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851395487 | NPPES |
| Indiana | MEDICAID | 200011350A |
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