Agnew, Mark E.
Agnew, Mark E. is an individual health care provider with primary practice located at 3300 Providence Dr B314, Anchorage AK 99508-4690. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Agnew, Mark E. can be contacted via phone (907) 212-3420.Contact Information
Primary practice address
3300 Providence Dr B314
Anchorage AK 99508-4690
Phone: (907) 212-3420
Fax: (907) 212-3429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 1145 | Alaska |
Profile Details
| NPI number | 1992898704 |
|---|---|
| LBN Legal business name | Agnew, Mark E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Apr 19th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992898704 | NPPES |
| Alaska | MEDICAID | 1009656 |
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