Garner, Mark Mckelvy
Garner, Mark Mckelvy is an sole proprietor health care provider with primary practice located at 12935 S West Bay Shore Dr Ste 260 , Traverse City MI 49684-5597. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Garner, Mark Mckelvy can be contacted via phone (231) 642-1641.Contact Information
Primary practice address
12935 S West Bay Shore Dr Ste 260
Traverse City MI 49684-5597
Phone: (231) 642-1641
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301006596 | Michigan |
Profile Details
| NPI number | 1558438838 |
|---|---|
| LBN Legal business name | Garner, Mark Mckelvy |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Jan 11th, 2021 - about 5 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 | 1558438838 | NPPES |
| Michigan | Other | 68-0-B8-4791 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | M025581 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | 68-0-B8-4791 | BLUE CROSS BLUE SHIELD |
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