Reaves, Mark Andrew

Reaves, Mark Andrew is an individual health care provider with primary practice located at 759 Columbus Ave , Lebanon OH 45036-1754. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Reaves, Mark Andrew can be contacted via phone (513) 932-4337.

Contact Information

Primary practice address
759 Columbus Ave Lebanon OH 45036-1754
Fax:
Website:

Health care specialties

Profile Details

NPI number 1235648015
LBN Legal business name Reaves, Mark Andrew
Credentials CDCA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2017
Last updated Sep 25th, 2017 - about 9 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 1235648015 NPPES
Ohio Other 164618 OHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD

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