Odishaw, Guy Mark
Odishaw, Guy Mark is an sole proprietor health care provider with primary practice located at 7550 France Ave S Ste 220 , Edina MN 55435-4762. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Odishaw, Guy Mark can be contacted via phone (612) 859-7709.Contact Information
Primary practice address
7550 France Ave S Ste 220
Edina MN 55435-4762
Phone: (612) 859-7709
Fax: (612) 326-1974
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X |
Profile Details
| NPI number | 1346460995 |
|---|---|
| LBN Legal business name | Odishaw, Guy Mark |
| Credentials | CMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2007 |
| Last updated | Jul 21st, 2022 - about 4 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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