Eveningred, Mark Henry

Eveningred, Mark Henry is an individual health care provider with primary practice located at 17900 23 Mile Rd Ste 401, Macomb MI 48044-1161. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Eveningred, Mark Henry can be contacted via phone (586) 868-9040.

Contact Information

Primary practice address
17900 23 Mile Rd Ste 401 Macomb MI 48044-1161
Phone: (586) 868-9040
Fax: (586) 868-9013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501005092 Michigan

Profile Details

NPI number 1861592784
LBN Legal business name Eveningred, Mark Henry
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Oct 16th, 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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