Gerberding, Mark Leroy

Gerberding, Mark Leroy is an individual health care provider with primary practice located at 1200 W Jefferson St Suite D, Springfield IL 62702-3694. 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. Gerberding, Mark Leroy can be contacted via phone (217) 726-8502.

Contact Information

Primary practice address
1200 W Jefferson St Suite D Springfield IL 62702-3694
Phone: (217) 726-8502
Fax: (217) 726-8568
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 70003579 Illinois

Profile Details

NPI number 1831134808
LBN Legal business name Gerberding, Mark Leroy
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
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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