Cabrera, Mark Anthony Castro
Cabrera, Mark Anthony Castro is an individual health care provider with primary practice located at 400 E 5Th Ave , Spokane WA 99202-1334. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Cabrera, Mark Anthony Castro can be contacted via phone (509) 838-2531.Contact Information
Primary practice address
400 E 5Th Ave
Spokane WA 99202-1334
Phone: (509) 838-2531
Fax: (509) 755-6580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2012-00279 | North Carolina |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD60545167 | Washington |
Profile Details
| NPI number | 1659524924 |
|---|---|
| LBN Legal business name | Cabrera, Mark Anthony Castro |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 29th, 2008 |
| Last updated | Feb 4th, 2022 - 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 | 1659524924 | NPPES |
| West Virginia | MEDICAID | 3810017341 | |
| West Virginia | MEDICAID | 1659524924 | |
| West Virginia | MEDICAID | Q0027X | |
| West Virginia | Other | P00914940 |
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