Probasco, Mark

Probasco, Mark is an individual health care provider with primary practice located at 727 W Johnson St , Fond Du Lac WI 54935-2015. 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. Probasco, Mark can be contacted via phone (920) 581-0111.

Contact Information

Primary practice address
727 W Johnson St Fond Du Lac WI 54935-2015
Phone: (920) 581-0111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 15209 Wisconsin

Profile Details

NPI number 1356709190
LBN Legal business name Probasco, Mark
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2016
Last updated Dec 6th, 2024 - about 2 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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