Scofield, Mark Allen

Scofield, Mark Allen is an individual health care provider with primary practice located at 2516 Foresight Cir #2, Grand Junction CO 81505-1096. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Scofield, Mark Allen can be contacted via phone (970) 254-8600.

Contact Information

Primary practice address
2516 Foresight Cir #2 Grand Junction CO 81505-1096
Phone: (970) 254-8600
Fax: (970) 254-8603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 991945 Colorado

Profile Details

NPI number 1700886306
LBN Legal business name Scofield, Mark Allen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Dec 4th, 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 1700886306 NPPES
Colorado MEDICAID 72777249

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