Stephenson, Mark David

Stephenson, Mark David is an individual health care provider with primary practice located at 1885 Bob Johnson Dr , Colorado Springs CO 80906-4000. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Stephenson, Mark David can be contacted via phone (719) 632-6722.

Contact Information

Primary practice address
1885 Bob Johnson Dr Colorado Springs CO 80906-4000
Phone: (719) 632-6722
Fax: (719) 632-6367
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1366430951
LBN Legal business name Stephenson, Mark David
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2005
Last updated Jul 8th, 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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