Biliack, Mark S

Biliack, Mark S is an individual health care provider with primary practice located at 19636 N 27Th Ave Suite 106, Phoenix AZ 85027-4014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Biliack, Mark S can be contacted via phone (623) 516-8252.

Contact Information

Primary practice address
19636 N 27Th Ave Suite 106 Phoenix AZ 85027-4014
Phone: (623) 516-8252
Fax: (623) 516-8253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 19551 Arizona

Profile Details

NPI number 1891791851
LBN Legal business name Biliack, Mark S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jan 6th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891791851 NPPES
Arizona MEDICAID 505597

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