Carter, Mark P
Carter, Mark P is an individual health care provider with primary practice located at 1306 Apple Glen Blvd , Fort Wayne IN 46804-1792. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Carter, Mark P can be contacted via phone (260) 459-6924.Contact Information
Primary practice address
1306 Apple Glen Blvd
Fort Wayne IN 46804-1792
Phone: (260) 459-6924
Fax: (260) 459-6200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 23001896A | Indiana |
Profile Details
| NPI number | 1093791907 |
|---|---|
| LBN Legal business name | Carter, Mark P |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Feb 19th, 2009 - about 15 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 | 1093791907 | NPPES |
| Indiana | MEDICAID | 100312300 |
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