Maulit, Mark Robert

Maulit, Mark Robert is an individual health care provider with primary practice located at 810 Joe Brooks Dr , Jonesboro AR 72401-4133. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Maulit, Mark Robert can be contacted via phone (870) 931-6789.

Contact Information

Primary practice address
810 Joe Brooks Dr Jonesboro AR 72401-4133
Phone: (870) 931-6789
Fax: (870) 931-4363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTR1898 Arkansas

Profile Details

NPI number 1609830868
LBN Legal business name Maulit, Mark Robert
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jul 8th, 2007 - about 19 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 1609830868 NPPES
Arkansas Other 5Y005 BCBS INDIV PROVIDER #

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