Dull, Mark A
Dull, Mark A is an sole proprietor health care provider with primary practice located at 237 E. Main St , Twin Lakes WI 53181. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Dull, Mark A can be contacted via phone (262) 877-2196.Contact Information
Primary practice address
237 E. Main St
Twin Lakes WI 53181
Phone: (262) 877-2196
Fax: (262) 877-2204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Orthopedic | 111NX0800X | 2331-012 | Wisconsin |
Profile Details
| NPI number | 1356437958 |
|---|---|
| LBN Legal business name | Dull, Mark A |
| Credentials | D.C.,DABCO,DACBSP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1356437958 | NPPES |
| Wisconsin | MEDICAID | 38931200 |
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