Sperbeck, Mark Jason

Sperbeck, Mark Jason is an sole proprietor health care provider with primary practice located at 40 N Grand Ave Ste 200 , Fort Thomas KY 41075-1765. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Sperbeck, Mark Jason can be contacted via phone (859) 448-0900.

Contact Information

Primary practice address
40 N Grand Ave Ste 200 Fort Thomas KY 41075-1765
Phone: (859) 448-0900
Fax: (859) 448-0989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2422 Ohio
Chiropractic Providers / Chiropractor 111N00000X 249709 Kentucky

Profile Details

NPI number 1275523318
LBN Legal business name Sperbeck, Mark Jason
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2005
Last updated Mar 1st, 2024 - about 2 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 1275523318 NPPES
Ohio Other P00079393 RAILROAD MEDICARE
Ohio MEDICAID 7100158890 RAILROAD MEDICARE
Ohio MEDICAID 2046477 RAILROAD MEDICARE

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