White, Mark

White, Mark is an individual health care provider with primary practice located at 322 Elton Hills Dr Nw , Rochester MN 55901-2476. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. White, Mark can be contacted via phone (507) 226-0002.

Contact Information

Primary practice address
322 Elton Hills Dr Nw Rochester MN 55901-2476
Phone: (507) 226-0002
Fax: (507) 226-0003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 903 Minnesota

Profile Details

NPI number 1629028980
LBN Legal business name White, Mark
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1629028980 NPPES
Minnesota Other 136742 UCARE
Minnesota Other 497S2FA UCARE

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