Roman, Mark

Roman, Mark is an individual health care provider with primary practice located at 8150 Old 13 Mile Rd , Warren MI 48093-8700. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Roman, Mark can be contacted via phone (586) 825-9700.

Contact Information

Primary practice address
8150 Old 13 Mile Rd Warren MI 48093-8700
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301018170 Michigan
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6362005151 Michigan

Profile Details

NPI number 1972146363
LBN Legal business name Roman, Mark
Credentials TLLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2019
Last updated May 26th, 2020 - about 6 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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