Baltz, Mark
Baltz, Mark is an individual health care provider with primary practice located at 2707 Browns Ln , Jonesboro AR 72401-7213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Baltz, Mark can be contacted via phone (870) 972-4939.Contact Information
Primary practice address
2707 Browns Ln
Jonesboro AR 72401-7213
Phone: (870) 972-4939
Fax: (870) 972-4911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | C-6368 | Arkansas |
Profile Details
| NPI number | 1194753046 |
|---|---|
| LBN Legal business name | Baltz, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | May 3rd, 2010 - about 14 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 | 1194753046 | NPPES |
| Arkansas | MEDICAID | 111552001 | |
| Arkansas | Other | 5O262 |
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