Mark, Charlene Theresa
Mark, Charlene Theresa is an sole proprietor health care provider with primary practice located at 3031 W Grand Blvd Ste 800 , Detroit MI 48202-3141. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mark, Charlene Theresa can be contacted via phone (313) 916-2454.Contact Information
Primary practice address
3031 W Grand Blvd Ste 800
Detroit MI 48202-3141
Phone: (313) 916-2454
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704138698 | Michigan |
Profile Details
| NPI number | 1528103959 |
|---|---|
| LBN Legal business name | Mark, Charlene Theresa |
| Credentials | MSN, FNP, BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Feb 25th, 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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