Esiyeden, Mark

Esiyeden, Mark is an sole proprietor health care provider with primary practice located at 1407 1/2 Chicago Street 4, Valparaiso IN 46383. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Driver, Transportation Services / Taxi, Transportation Services / Non-emergency Medical Transport (VAN). Transportation Services / Non-emergency Medical Transport (VAN) is his primary health care specialty. Esiyeden, Mark can be contacted via phone (219) 707-3767.

Contact Information

Primary practice address
1407 1/2 Chicago Street 4 Valparaiso IN 46383
Phone: (219) 707-3767
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X 4420277588 Indiana
Transportation Services / Taxi 344600000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1831654680
LBN Legal business name Esiyeden, Mark
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2019
Last updated Feb 6th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831654680 NPPES
Indiana Other 4420277588 DRIVERS LICENCE

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