Corriveau, Mark
Corriveau, Mark is an individual health care provider with primary practice located at 700 S Park St Ste A , Madison WI 53715-1830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Corriveau, Mark can be contacted via phone (608) 260-2900.Contact Information
Primary practice address
700 S Park St Ste A
Madison WI 53715-1830
Phone: (608) 260-2900
Fax: (608) 260-3442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 5729 | Wisconsin |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 67348 | Wisconsin |
Profile Details
| NPI number | 1891182762 |
|---|---|
| LBN Legal business name | Corriveau, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2015 |
| Last updated | Jan 20th, 2023 - about 2 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 | 1891182762 | NPPES |
| Wisconsin | MEDICAID | 1891182762 |
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