Deacon, John Mark

Deacon, John Mark is an individual health care provider with primary practice located at 351 S Patterson Ave , Santa Barbara CA 93111-2403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, which is considered as his primary health care specialty. Deacon, John Mark can be contacted via phone (805) 696-7920.

Contact Information

Primary practice address
351 S Patterson Ave Santa Barbara CA 93111-2403
Fax: (805) 696-7921
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X A66064 California

Profile Details

NPI number 1477567923
LBN Legal business name Deacon, John Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Aug 12th, 2010 - about 14 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 1477567923 NPPES
California MEDICAID 00A660640

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