Roberts, Mark Allen

Roberts, Mark Allen is an sole proprietor health care provider with primary practice located at 1404 W Frank Ave , Lufkin TX 75904-3306. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Roberts, Mark Allen can be contacted via phone (936) 634-8461.

Contact Information

Primary practice address
1404 W Frank Ave Lufkin TX 75904-3306
Fax: (936) 634-8524
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 8855 Texas

Profile Details

NPI number 1710968052
LBN Legal business name Roberts, Mark Allen
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2005
Last updated Oct 12th, 2016 - about 10 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 1710968052 NPPES
Texas Other P000607850 RAILROAD RETIREMENT

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