Shuttleworth, Mark Read
Shuttleworth, Mark Read is an individual health care provider with primary practice located at 665 East Pass Rd Ste 3 , Gulfport MS 39507. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Shuttleworth, Mark Read can be contacted via phone (228) 896-3002.Contact Information
Primary practice address
665 East Pass Rd Ste 3
Gulfport MS 39507
Phone: (228) 896-3002
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 0753 | Mississippi |
Profile Details
| NPI number | 1083786768 |
|---|---|
| LBN Legal business name | Shuttleworth, Mark Read |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Jan 16th, 2018 - about 8 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 | 1083786768 | NPPES |
| Mississippi | MEDICAID | 00115351 |
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