Huntsman, Mark Leslie

Huntsman, Mark Leslie is an individual health care provider with primary practice located at 205 Old Blackstone Camp Rd , Martinez GA 30907-9459. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Huntsman, Mark Leslie can be contacted via phone (706) 814-5053.

Contact Information

Primary practice address
205 Old Blackstone Camp Rd Martinez GA 30907-9459
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIR008712 Georgia

Profile Details

NPI number 1699714808
LBN Legal business name Huntsman, Mark Leslie
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Oct 19th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699714808 NPPES
North Carolina Other 085YE BCBS

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