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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164552741 NPPES
Ohio Other 311132895-00 OHIO WORKERS COMP
Ohio Other 000000012407 OHIO WORKERS COMP

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