Barba, Mark L.

Barba, Mark L. is an individual health care provider with primary practice located at 5875 E Riverside Blvd , Rockford IL 61114-4937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Barba, Mark L. can be contacted via phone (815) 398-9491.

Contact Information

Primary practice address
5875 E Riverside Blvd Rockford IL 61114-4937
Phone: (815) 398-9491
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 57247-20 Wisconsin
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036-093362 Illinois

Profile Details

NPI number 1730292400
LBN Legal business name Barba, Mark L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Nov 13th, 2023 - about last year

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 1730292400 NPPES
Illinois MEDICAID 036093362

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