Dyball, Mark Edward
Dyball, Mark Edward is an individual health care provider with primary practice located at 861 Health Park Blvd , Grand Blanc MI 48439. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Dyball, Mark Edward can be contacted via phone (810) 953-0500.Contact Information
Primary practice address
861 Health Park Blvd
Grand Blanc MI 48439
Phone: (810) 953-0500
Fax: (810) 953-0031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 5101009577 | Michigan |
Profile Details
| NPI number | 1114957727 |
|---|---|
| LBN Legal business name | Dyball, Mark Edward |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Jun 27th, 2018 - about 6 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 | 1114957727 | NPPES |
| Michigan | MEDICAID | 3166333 |
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