Walkup, Mark Steven

Walkup, Mark Steven is an individual health care provider with primary practice located at 390 River St Hcrs, Springfield VT 05156-2226. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Walkup, Mark Steven can be contacted via phone (207) 282-1500.

Contact Information

Primary practice address
390 River St Hcrs Springfield VT 05156-2226
Phone: (207) 282-1500
Fax: (207) 282-2581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC6445 Maine
Behavioral Health & Social Service Providers / Clinical 1041C0700X 089.0089939 Vermont

Profile Details

NPI number 1801806187
LBN Legal business name Walkup, Mark Steven
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated May 10th, 2013 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801806187 NPPES
Maine MEDICAID 272600099

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