Killian, Mark H
Killian, Mark H is an individual health care provider with primary practice located at 1970 Navajo St , Rhinelander WI 54501-8890. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Killian, Mark H can be contacted via phone (715) 420-1593.Contact Information
Primary practice address
1970 Navajo St
Rhinelander WI 54501-8890
Phone: (715) 420-1593
Fax: (715) 362-0512
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4902-024 | Wisconsin |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 38-039 | Wisconsin |
Profile Details
| NPI number | 1831208693 |
|---|---|
| LBN Legal business name | Killian, Mark H |
| Credentials | P.T., L.A.T. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Dec 4th, 2014 - about 12 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 | 1831208693 | NPPES |
| Wisconsin | MEDICAID | 40286100 |
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