Medlin, Mark W

Medlin, Mark W is an sole proprietor health care provider with primary practice located at 2517 E State Road 44 , Shelbyville IN 46176-1884. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Medlin, Mark W can be contacted via phone (317) 398-9355.

Contact Information

Primary practice address
2517 E State Road 44 Shelbyville IN 46176-1884
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 08001803A Indiana

Profile Details

NPI number 1871664086
LBN Legal business name Medlin, Mark W
Credentials D.C.,B.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 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 1871664086 NPPES
Indiana MEDICAID 20018200A

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