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Contact Information

MARK LAUREL
5980 W 71ST ST STE 102
INDIANAPOLIS, IN46278-1785
 Phone: 317-388-0800
 Fax: 317-388-0805
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MARK LAUREL · (Male)

NPI # 1184959314
Status Active
Credentials
Entity Individual
Enumeration date 10/06/2009
Last updated 02/11/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # 22361
  • NM License # 4073
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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