Birkenbach, Mark P
Birkenbach, Mark P is an individual health care provider with primary practice located at 420 Delaware St Se Mmc 609, Minneapolis MN 55455-0341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Birkenbach, Mark P can be contacted via phone (612) 884-0301.Contact Information
Primary practice address
420 Delaware St Se Mmc 609
Minneapolis MN 55455-0341
Phone: (612) 884-0301
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 0101224785 | Virginia |
Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 261QM1300X | Minnesota |
Profile Details
NPI number | 1346212313 |
---|---|
LBN Legal business name | Birkenbach, Mark P |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 3rd, 2006 |
Last updated | Dec 19th, 2013 - about 12 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 | 1346212313 | NPPES |
Virginia | Other | 283447 | UHC/MAMSI/MDIPA |
Virginia | Other | PAR | UHC/MAMSI/MDIPA |
Virginia | MEDICAID | 004910681 | UHC/MAMSI/MDIPA |
Virginia | Other | 57175 | UHC/MAMSI/MDIPA |
Virginia | Other | PAR | UHC/MAMSI/MDIPA |
Virginia | Other | PAR | UHC/MAMSI/MDIPA |
Virginia | MEDICAID | 89063MT | UHC/MAMSI/MDIPA |
Virginia | Other | PAR | UHC/MAMSI/MDIPA |
Virginia | Other | 063MT | UHC/MAMSI/MDIPA |
Virginia | Other | 452114 | UHC/MAMSI/MDIPA |
Virginia | Other | PAR | UHC/MAMSI/MDIPA |
Virginia | Other | 28803 | UHC/MAMSI/MDIPA |
Virginia | Other | PAR | UHC/MAMSI/MDIPA |
Virginia | Other | PAR | UHC/MAMSI/MDIPA |
Virginia | Other | PAR | UHC/MAMSI/MDIPA |
Virginia | Other | 008 | UHC/MAMSI/MDIPA |
Virginia | Other | PAR | UHC/MAMSI/MDIPA |
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