Choquette, Mark Edward

Choquette, Mark Edward is an individual health care provider with primary practice located at 615 Ozark Rd , Abbeville AL 36310-2629. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Choquette, Mark Edward can be contacted via phone (334) 585-1171.

Contact Information

Primary practice address
615 Ozark Rd Abbeville AL 36310-2629
Phone: (334) 585-1171
Fax: (334) 585-1182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA536 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA536 Alabama

Profile Details

NPI number 1366623886
LBN Legal business name Choquette, Mark Edward
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2007
Last updated Jun 14th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366623886 NPPES
Other 1076470 NCCPA
MEDICAID 125758 NCCPA
Other PA536 NCCPA

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