Dal Pra, Mark A.
Dal Pra, Mark A. is an individual health care provider with primary practice located at 2285 Benden Dr , Wooster OH 44691-2568. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Dal Pra, Mark A. can be contacted via phone (330) 264-9029.Contact Information
Primary practice address
2285 Benden Dr
Wooster OH 44691-2568
Phone: (330) 264-9029
Fax: (330) 263-7251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | E7706 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APRN.CNP.019734 | Ohio |
Profile Details
| NPI number | 1417048968 |
|---|---|
| LBN Legal business name | Dal Pra, Mark A. |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Jan 6th, 2021 - about 5 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 | 1417048968 | NPPES |
| Ohio | MEDICAID | 0187055 |
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