Drucker, Mark

Drucker, Mark is an individual health care provider with primary practice located at 750 Las Gallinas Ave Suite 115, San Rafael CA 94903-3438. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Drucker, Mark can be contacted via phone (415) 472-5575.

Contact Information

Primary practice address
750 Las Gallinas Ave Suite 115 San Rafael CA 94903-3438
Fax: (415) 472-0502
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E1561 California

Profile Details

NPI number 1720013550
LBN Legal business name Drucker, Mark
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jan 18th, 2011 - 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 1720013550 NPPES
California Other E1561 LICENSE #
California Other 94-2682725 LICENSE #

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