Mark, Samuel B

Mark, Samuel B is an individual health care provider with primary practice located at 218 W 27Th St , Scottsbluff NE 69361-4306. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Mark, Samuel B can be contacted via phone (308) 633-2200.

Contact Information

Primary practice address
218 W 27Th St Scottsbluff NE 69361-4306
Phone: (308) 633-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X
Chiropractic Providers / Chiropractor 111N00000X 1333 Nebraska

Profile Details

NPI number 1316027204
LBN Legal business name Mark, Samuel B
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Apr 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316027204 NPPES
Nebraska Other 99671 BLUE CROSS BLUE SHIELD

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