Poole, Mark Ellsworth
Poole, Mark Ellsworth is an individual health care provider with primary practice located at 1222 Spruce St Rm 2.102A , Saint Louis MO 63103-2854. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Poole, Mark Ellsworth can be contacted via phone (314) 269-2310.Contact Information
Primary practice address
1222 Spruce St Rm 2.102A
Saint Louis MO 63103-2854
Phone: (314) 269-2310
Fax: (314) 269-2748
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X |
Profile Details
| NPI number | 1144390436 |
|---|---|
| LBN Legal business name | Poole, Mark Ellsworth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Apr 11th, 2008 - about 18 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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