Stevens, Mark Andrew

Stevens, Mark Andrew is an individual health care provider with primary practice located at 1812 N Lakewood Dr Ste 100 , Coeur D Alene ID 83814-2635. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Stevens, Mark Andrew can be contacted via phone (208) 966-4475.

Contact Information

Primary practice address
1812 N Lakewood Dr Ste 100 Coeur D Alene ID 83814-2635
Phone: (208) 966-4475
Fax: (208) 966-4475
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT013618 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT8200 Idaho

Profile Details

NPI number 1003302688
LBN Legal business name Stevens, Mark Andrew
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2018
Last updated Nov 22nd, 2022 - about 3 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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