Bakkum, Mark A
Bakkum, Mark A is an individual health care provider with primary practice located at 3717 Center Point Road Ne Suite 200, Cedar Rapids IA 52402-2944. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Bakkum, Mark A can be contacted via phone (319) 393-8994.Contact Information
Primary practice address
3717 Center Point Road Ne Suite 200
Cedar Rapids IA 52402-2944
Phone: (319) 393-8994
Fax: (319) 393-0895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | 00541 | Iowa |
Profile Details
| NPI number | 1306902390 |
|---|---|
| LBN Legal business name | Bakkum, Mark A |
| Credentials | BOARD CERTIFIED IOWA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306902390 | NPPES |
| Iowa | MEDICAID | 0448886 |
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