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:
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Health care specialties

SpecialtyCodeLicense #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 18 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 1851395487 NPPES
Indiana MEDICAID 200011350A

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