Deeg, Mark A

Deeg, Mark A is an individual health care provider with primary practice located at 1481 W 10Th St , Indianapolis IN 46202-2803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Deeg, Mark A can be contacted via phone (317) 274-0550.

Contact Information

Primary practice address
1481 W 10Th St Indianapolis IN 46202-2803
Phone: (317) 274-0550
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 01044341 Indiana

Profile Details

NPI number 1790740017
LBN Legal business name Deeg, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Oct 3rd, 2008 - about 16 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 1790740017 NPPES
Indiana MEDICAID 200063120

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