Earl, Mark
Earl, Mark is an individual health care provider with primary practice located at 102 Heritage Way, Se Suite 302 , Leesburg VA 20176-9813. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Earl, Mark can be contacted via phone (703) 771-5100.Contact Information
Primary practice address
102 Heritage Way, Se Suite 302
Leesburg VA 20176-9813
Phone: (703) 771-5100
Fax: (703) 771-0320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1871995423 |
|---|---|
| LBN Legal business name | Earl, Mark |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2014 |
| Last updated | Sep 25th, 2014 - about 12 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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