Capener, Mark Lee
Capener, Mark Lee is an individual health care provider with primary practice located at 2065 E 17Th St Suite B-2, Idaho Falls ID 83404-8042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Capener, Mark Lee can be contacted via phone (208) 524-7244.Contact Information
Primary practice address
2065 E 17Th St Suite B-2
Idaho Falls ID 83404-8042
Phone: (208) 524-7244
Fax: (208) 524-1088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 8394 | Idaho |
Profile Details
| NPI number | 1750489100 |
|---|---|
| LBN Legal business name | Capener, Mark Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | May 22nd, 2008 - about 17 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 | 1750489100 | NPPES |
| Idaho | MEDICAID | 805970200 |
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