Gonchar, Mark

Gonchar, Mark is an individual health care provider with primary practice located at 3095 E Coronado Trl , Rimrock AZ 86335-5284. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Gonchar, Mark can be contacted via phone (928) 567-1322.

Contact Information

Primary practice address
3095 E Coronado Trl Rimrock AZ 86335-5284
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 13156 Arizona

Profile Details

NPI number 1003399403
LBN Legal business name Gonchar, Mark
Credentials LASAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2018
Last updated Sep 11th, 2018 - 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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