Rutherford, Mark D
Rutherford, Mark D is an sole proprietor health care provider with primary practice located at 11122 Gravelly Lake Dr Sw , Lakewood WA 98499-1348. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Rutherford, Mark D can be contacted via phone (253) 355-8156.Contact Information
Primary practice address
11122 Gravelly Lake Dr Sw
Lakewood WA 98499-1348
Phone: (253) 355-8156
Fax: (206) 923-7601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH00002419 | Washington |
Profile Details
| NPI number | 1700377892 |
|---|---|
| LBN Legal business name | Rutherford, Mark D |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2018 |
| Last updated | Jan 25th, 2021 - about 5 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 | 1700377892 | NPPES |
| Washington | Other | 1922455161 | NPI |
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