Wallman, Mark Allen

Wallman, Mark Allen is an sole proprietor health care provider with primary practice located at 314 Kelly Ln , Boonton NJ 07005-2110. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Wallman, Mark Allen can be contacted via phone (973) 334-6006.

Contact Information

Primary practice address
314 Kelly Ln Boonton NJ 07005-2110
Phone: (973) 334-6006
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00384900 New Jersey
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00156700 New Jersey

Profile Details

NPI number 1164676029
LBN Legal business name Wallman, Mark Allen
Credentials L.P.C., L.C.A.D.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2008
Last updated May 6th, 2009 - about 17 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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