Chin, Mark
Chin, Mark is an sole proprietor health care provider with primary practice located at 6175 N Fresno St # 101 , Fresno CA 93710-5207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Chin, Mark can be contacted via phone (559) 435-9646.Contact Information
Primary practice address
6175 N Fresno St # 101
Fresno CA 93710-5207
Phone: (559) 435-9646
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | G62156 | California |
Profile Details
| NPI number | 1285744672 |
|---|---|
| LBN Legal business name | Chin, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jun 1st, 2015 - about 9 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 | 1285744672 | NPPES |
| California | MEDICAID | 00G21560 |
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