Azar, Mark Christopher

Azar, Mark Christopher is an sole proprietor health care provider with primary practice located at 3540 N Belt W Suite D, Belleville IL 62226-5975. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Azar, Mark Christopher can be contacted via phone (618) 235-3337.

Contact Information

Primary practice address
3540 N Belt W Suite D Belleville IL 62226-5975
Phone: (618) 235-3337
Fax: (618) 235-8703
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 19-A15099 Illinois

Profile Details

NPI number 1194852608
LBN Legal business name Azar, Mark Christopher
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2007
Last updated Jul 8th, 2007 - about 18 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 1194852608 NPPES
Illinois Other 19-A15099 STATE SPECIALTY LICENSE

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