Gerecke, David Mark

Gerecke, David Mark is an individual health care provider with primary practice located at 3614 72Nd Avenue Ct W , University Place WA 98466-4407. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Gerecke, David Mark can be contacted via phone (206) 450-7669.

Contact Information

Primary practice address
3614 72Nd Avenue Ct W University Place WA 98466-4407
Phone: (206) 450-7669
Fax: (253) 753-1825
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X 1270 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X 1270 Texas

Profile Details

NPI number 1437151644
LBN Legal business name Gerecke, David Mark
Credentials CPO, FAAOP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Dec 2nd, 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.

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