Elvecrog, Mark Joseph

Elvecrog, Mark Joseph is an sole proprietor health care provider with primary practice located at 8074 Old Carriage Ct , Shakopee MN 55379-3156. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Elvecrog, Mark Joseph can be contacted via phone (952) 746-0808.

Contact Information

Primary practice address
8074 Old Carriage Ct Shakopee MN 55379-3156
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D11796 Minnesota

Profile Details

NPI number 1215085055
LBN Legal business name Elvecrog, Mark Joseph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 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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