Cavallo, Mark
Cavallo, Mark is an sole proprietor health care provider with primary practice located at 304 West Johnson Hwy , East Norriton PA 19401. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Cavallo, Mark can be contacted via phone (484) 808-8888.Contact Information
Primary practice address
304 West Johnson Hwy
East Norriton PA 19401
Phone: (484) 808-8888
Fax: (484) 808-8890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC3721L | Pennsylvania |
Profile Details
| NPI number | 1619917549 |
|---|---|
| LBN Legal business name | Cavallo, Mark |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Sep 28th, 2011 - about 15 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 | 1619917549 | NPPES |
| Pennsylvania | MEDICAID | 071294835 | |
| Pennsylvania | Other | 0083207000 |
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