Roush, Mark Robin
Roush, Mark Robin is an sole proprietor health care provider with primary practice located at 3779 Dayton Xenia Rd , Beavercreek OH 45432-2829. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Roush, Mark Robin can be contacted via phone (937) 426-3608.Contact Information
Primary practice address
3779 Dayton Xenia Rd
Beavercreek OH 45432-2829
Phone: (937) 426-3608
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1004 | Ohio |
Profile Details
| NPI number | 1164552741 |
|---|---|
| LBN Legal business name | Roush, Mark Robin |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164552741 | NPPES |
| Ohio | Other | 311132895-00 | OHIO WORKERS COMP |
| Ohio | Other | 000000012407 | OHIO WORKERS COMP |
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