East, Mark David
East, Mark David is an individual health care provider with primary practice located at 1613 N Mckenzie St , Foley AL 36535-2247. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. East, Mark David can be contacted via phone (251) 949-3710.Contact Information
Primary practice address
1613 N Mckenzie St
Foley AL 36535-2247
Phone: (251) 949-3710
Fax: (251) 949-3715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | DO.1318 | Alabama |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | DO.1318 | Alabama |
Profile Details
| NPI number | 1376508861 |
|---|---|
| LBN Legal business name | East, Mark David |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Aug 5th, 2022 - about 3 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 | 1376508861 | NPPES |
| Alabama | MEDICAID | 148106 | |
| Alabama | MEDICAID | 5279713 | |
| Alabama | MEDICAID | 7100684480 |
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