Mahacek, Mark B
Mahacek, Mark B is an sole proprietor health care provider with primary practice located at 19100 N Fruitport Rd , Spring Lake MI 49456-1165. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Mahacek, Mark B can be contacted via phone (616) 842-2125.Contact Information
Primary practice address
19100 N Fruitport Rd
Spring Lake MI 49456-1165
Phone: (616) 842-2125
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | MM008350 | Michigan |
Profile Details
| NPI number | 1346330438 |
|---|---|
| LBN Legal business name | Mahacek, Mark B |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Oct 5th, 2023 - about 3 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 | 1346330438 | NPPES |
| Michigan | Other | 680G035200 | BCBSM |
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