Belza, Mark Gregory
Belza, Mark Gregory is an individual health care provider with primary practice located at 1501 Ne Medical Center Dr , Bend OR 97701-6051. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Belza, Mark Gregory can be contacted via phone (541) 389-4200.Contact Information
Primary practice address
1501 Ne Medical Center Dr
Bend OR 97701-6051
Phone: (541) 389-4200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | MD16986 | Oregon |
Profile Details
| NPI number | 1740284777 |
|---|---|
| LBN Legal business name | Belza, Mark Gregory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Jan 29th, 2021 - about 3 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 | 1740284777 | NPPES |
| Oregon | MEDICAID | 024971 | |
| Oregon | Other | M016986 |
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