Ainsworth, Marcus A
Ainsworth, Marcus A is an individual health care provider with primary practice located at 2546 Ne Conners Ave Suite 110, Bend OR 97701-6761. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Ainsworth, Marcus A can be contacted via phone (541) 382-5500.Contact Information
Primary practice address
2546 Ne Conners Ave Suite 110
Bend OR 97701-6761
Phone: (541) 382-5500
Fax: (541) 389-5669
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 6241 | Oregon |
Profile Details
NPI number | 1720286610 |
---|---|
LBN Legal business name | Ainsworth, Marcus A |
Credentials | PT, DPT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 3rd, 2007 |
Last updated | Nov 13th, 2023 - about 2 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 | 1720286610 | NPPES |
Oregon | MEDICAID | 500624815 |
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