Asmussen, Mark G

Asmussen, Mark G is an individual health care provider with primary practice located at 312 Grammont St Suite 101, Monroe LA 71201-7457. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Asmussen, Mark G can be contacted via phone (318) 998-6138.

Contact Information

Primary practice address
312 Grammont St Suite 101 Monroe LA 71201-7457
Phone: (318) 998-6138
Fax: (318) 998-6139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP02136 Louisiana

Profile Details

NPI number 1467595421
LBN Legal business name Asmussen, Mark G
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Jan 23rd, 2008 - about 17 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 1467595421 NPPES
Louisiana MEDICAID 1657646

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