Beard, John Mark
Beard, John Mark is an individual health care provider with primary practice located at 4410 106Th St Sw , Mukilteo WA 98275-4700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Beard, John Mark can be contacted via phone (425) 493-6000.Contact Information
Primary practice address
4410 106Th St Sw
Mukilteo WA 98275-4700
Phone: (425) 493-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | MD00025677 | Washington |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00025677 | Washington |
Profile Details
| NPI number | 1225118201 |
|---|---|
| LBN Legal business name | Beard, John Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Mar 15th, 2017 - about 8 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 | 1225118201 | NPPES |
| Washington | MEDICAID | 1225118201 | |
| Washington | MEDICAID | 1005385 | |
| Washington | Other | 0230703 | |
| Washington | Other | 2005974 |
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