Olives, Mark Andrew

Olives, Mark Andrew is an individual health care provider with primary practice located at 39815 Alta Murrieta Dr Ste C1 , Murrieta CA 92563-5405. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Olives, Mark Andrew can be contacted via phone (951) 304-7673.

Contact Information

Primary practice address
39815 Alta Murrieta Dr Ste C1 Murrieta CA 92563-5405
Phone: (951) 304-7673
Fax: (951) 304-7680
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 20695 California

Profile Details

NPI number 1932154531
LBN Legal business name Olives, Mark Andrew
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jan 12th, 2018 - about 8 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 1932154531 NPPES
California Other PT20695 LICENSE

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