Channer, Mark A
Channer, Mark A is an individual health care provider with primary practice located at 2360 Mullan Rd Suite C, Missoula MT 59808-1811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Channer, Mark A can be contacted via phone (406) 721-4436.Contact Information
Primary practice address
2360 Mullan Rd Suite C
Missoula MT 59808-1811
Phone: (406) 721-4436
Fax: (406) 721-6053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 9806 | Montana |
Profile Details
| NPI number | 1649259441 |
|---|---|
| LBN Legal business name | Channer, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Jun 2nd, 2011 - about 13 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 | 1649259441 | NPPES |
| Montana | MEDICAID | 0036322 |
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