Dittloff, Mark Daniel
Dittloff, Mark Daniel is an sole proprietor health care provider with primary practice located at 820 Arbutus Ave , Oconto WI 54153-2004. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Dittloff, Mark Daniel can be contacted via phone (920) 834-8833.Contact Information
Primary practice address
820 Arbutus Ave
Oconto WI 54153-2004
Phone: (920) 834-8833
Fax: (920) 834-8830
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 64969 | Texas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 8608-125 | Wisconsin |
Profile Details
| NPI number | 1194965590 |
|---|---|
| LBN Legal business name | Dittloff, Mark Daniel |
| Credentials | MS, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 24th, 2009 |
| Last updated | Nov 11th, 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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