Davis, Mark David

Davis, Mark David is an sole proprietor health care provider with primary practice located at 12420 S Ridgeland Ave , Palos Heights IL 60463-1858. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Davis, Mark David can be contacted via phone (708) 287-0816.

Contact Information

Primary practice address
12420 S Ridgeland Ave Palos Heights IL 60463-1858
Phone: (708) 287-0816
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X D12054490233 Illinois

Profile Details

NPI number 1699114082
LBN Legal business name Davis, Mark David
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2013
Last updated Jun 18th, 2013 - about 13 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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