Simpson, Mark Stewart
Simpson, Mark Stewart is an sole proprietor health care provider with primary practice located at Corner Of Route N12 And N7 Fort Defiance Indian Hospital Board, Inc, Fort Defiance AZ 86504-0649. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Simpson, Mark Stewart can be contacted via phone (928) 729-8506.Contact Information
Primary practice address
Corner Of Route N12 And N7 Fort Defiance Indian Hospital Board, Inc
Fort Defiance AZ 86504-0649
Phone: (928) 729-8506
Fax: (928) 729-8502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0081081 | New Mexico |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0930 | New Mexico |
Profile Details
| NPI number | 1518952662 |
|---|---|
| LBN Legal business name | Simpson, Mark Stewart |
| Credentials | PSYD, LADAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Jan 31st, 2014 - about 12 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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