Degataga, Mark

Degataga, Mark is an individual health care provider with primary practice located at 27777 Inkster Rd Ste 100 , Farmington Hills MI 48334-5312. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Degataga, Mark can be contacted via phone (248) 436-4400.

Contact Information

Primary practice address
27777 Inkster Rd Ste 100 Farmington Hills MI 48334-5312
Phone: (248) 436-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1467712893
LBN Legal business name Degataga, Mark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2012
Last updated Feb 23rd, 2022 - about 4 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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