Eaton, Mark Adalbert
Eaton, Mark Adalbert is an individual health care provider with primary practice located at 520 Medical Center Dr Ste 300, Medford OR 97504-4316. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Eaton, Mark Adalbert can be contacted via phone (541) 282-6559.Contact Information
Primary practice address
520 Medical Center Dr Ste 300
Medford OR 97504-4316
Phone: (541) 282-6559
Fax: (541) 282-6710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD22875 | Oregon |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD22875 | Oregon |
Profile Details
| NPI number | 1144301300 |
|---|---|
| LBN Legal business name | Eaton, Mark Adalbert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Feb 23rd, 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 | 1144301300 | NPPES |
| Oregon | Other | 4898012 | BLUE CROSS |
| Oregon | Other | 109130 | BLUE CROSS |
| Oregon | MEDICAID | 287578 | BLUE CROSS |
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