Delong, Mark
Delong, Mark is an individual health care provider with primary practice located at 645 N Walnut St , Bloomington IN 47404-3846. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Delong, Mark can be contacted via phone (812) 336-3570.Contact Information
Primary practice address
645 N Walnut St
Bloomington IN 47404-3846
Phone: (812) 336-3570
Fax: (812) 336-9010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | C1192 | Indiana |
Profile Details
| NPI number | 1760503718 |
|---|---|
| LBN Legal business name | Delong, Mark |
| Credentials | CADAC II, MSED., CCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Jul 8th, 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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