Brown, Mark
Brown, Mark is an individual health care provider with primary practice located at 1422 El Camino Real , Menlo Park CA 94025-4110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Brown, Mark can be contacted via phone (650) 903-9500.Contact Information
Primary practice address
1422 El Camino Real
Menlo Park CA 94025-4110
Phone: (650) 903-9500
Fax: (650) 903-9900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G81017 | California |
Profile Details
| NPI number | 1811067234 |
|---|---|
| LBN Legal business name | Brown, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Aug 21st, 2014 - about 10 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 | 1811067234 | NPPES |
| California | MEDICAID | GR0042170 |
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