Vescial, Mark John

Vescial, Mark John is an individual health care provider with primary practice located at 111 Market St Ne Suite 108, Olympia WA 98501-1008. 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. Vescial, Mark John can be contacted via phone (360) 754-7085.

Contact Information

Primary practice address
111 Market St Ne Suite 108 Olympia WA 98501-1008
Phone: (360) 754-7085
Fax: (360) 754-3671
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00009664 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 18486 California

Profile Details

NPI number 1912981861
LBN Legal business name Vescial, Mark John
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Jun 28th, 2011 - about 15 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 1912981861 NPPES
Washington Other 0278102 L&I
Washington Other 195228 L&I
Washington MEDICAID 8421125 L&I

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