Delsman, Mark James

Delsman, Mark James is an sole proprietor health care provider with primary practice located at 3068 University Ave , San Diego CA 92104-3034. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Delsman, Mark James can be contacted via phone (619) 298-5524.

Contact Information

Primary practice address
3068 University Ave San Diego CA 92104-3034
Fax: (619) 298-7175
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 7444T California

Profile Details

NPI number 1497712871
LBN Legal business name Delsman, Mark James
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2006
Last updated May 3rd, 2016 - about 8 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 1497712871 NPPES
California MEDICAID GSD001540

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