Chittum, Mark E.
Chittum, Mark E. is an individual health care provider with primary practice located at 2770 N Union Blvd Suite 140, Colorado Springs CO 80909-1183. He recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as his primary health care specialty. Chittum, Mark E. can be contacted via phone (719) 473-9595.Contact Information
Primary practice address
2770 N Union Blvd Suite 140
Colorado Springs CO 80909-1183
Phone: (719) 473-9595
Fax: (719) 227-0669
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | DR.0028079 | Colorado |
Profile Details
| NPI number | 1518942572 |
|---|---|
| LBN Legal business name | Chittum, Mark E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Mar 30th, 2017 - about 7 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 | 1518942572 | NPPES |
| Colorado | MEDICAID | 01280791 |
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