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Contact Information

MARK E LOISELLE, CSFA
515 LAKEWOOD CT
CANTON, GA30114-6694
 Phone: 770-361-0034
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Assistant

246ZC0007X
Indicates primary specialty

NPI Profile & details for MARK E LOISELLE · (Male)

NPI # 1164700415
Status Active
Credentials CSFA
Entity Individual
Enumeration date 08/03/2011
Last updated 08/06/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • License # 200838
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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