Czarnecki, Mark Dennis
Czarnecki, Mark Dennis is an individual health care provider with primary practice located at 1615 E 12Th St Ste 100, The Dalles OR 97058-8004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Czarnecki, Mark Dennis can be contacted via phone (541) 296-1919.Contact Information
Primary practice address
1615 E 12Th St Ste 100
The Dalles OR 97058-8004
Phone: (541) 296-1919
Fax: (541) 296-2253
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 15400DO | Oregon |
Profile Details
| NPI number | 1841322658 |
|---|---|
| LBN Legal business name | Czarnecki, Mark Dennis |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1841322658 | NPPES |
| Oregon | MEDICAID | 152934 |
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